Healthcare Provider Details

I. General information

NPI: 1528121266
Provider Name (Legal Business Name): ADAM L SCHWARTZ PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2006
Last Update Date: 02/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6970 E CHAUNCEY LN STE 100
PHOENIX AZ
85054-5158
US

IV. Provider business mailing address

6970 E CHAUNCEY LN STE 100
PHOENIX AZ
85054-5158
US

V. Phone/Fax

Practice location:
  • Phone: 602-788-7211
  • Fax: 602-788-1890
Mailing address:
  • Phone: 602-788-7211
  • Fax: 602-788-1890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number3493
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: