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NPI Code Detail

MEDICARE: DR. SABRINA J. SCHMIDT M.D.

MEDICARE: DR. SABRINA J. SCHMIDT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2002007111MO
2207Q00000XFamily Medicine PhysicianMD2013-0759NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1199031OTHERMOBCMO
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710077631
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SABRINA J. SCHMIDT M.D.
Provider Business Mailing Address
First Line : PO BOX 6210
Second Line :
City : FARMINGTON
State : NM
Zip : 87499-6210
Country : US
Telephone Number : 505-609-2258
Fax Number : 505-609-2259
Provider Business Practice Location Address
First Line : 4820 E MAIN ST
Second Line :
City : FARMINGTON
State : NM
Zip : 87402-8660
Country : US
Telephone Number : 505-609-6495
Fax Number : 505-609-2259
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 11/19/2013

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