Healthcare Provider Details

I. General information

NPI: 1073924023
Provider Name (Legal Business Name): AUTUMN MARIE ARMSTRONG D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AUTUMN M SCHWED D.O.

II. Dates (important events)

Enumeration Date: 05/13/2014
Last Update Date: 09/07/2022
Certification Date: 09/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3929 E BELL RD
PHOENIX AZ
85032
US

IV. Provider business mailing address

3929 E BELL RD
PHOENIX AZ
85032-2112
US

V. Phone/Fax

Practice location:
  • Phone: 602-923-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number007619
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberDR.0061572
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: