Healthcare Provider Details

I. General information

NPI: 1699961847
Provider Name (Legal Business Name): ELIZABETH MALIA SCHMIED MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH MALIA REYNOSO MD

II. Dates (important events)

Enumeration Date: 09/21/2007
Last Update Date: 04/27/2021
Certification Date: 04/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10261 N 92ND ST
SCOTTSDALE AZ
85258-4502
US

IV. Provider business mailing address

10261 N 92ND ST
SCOTTSDALE AZ
85258-4502
US

V. Phone/Fax

Practice location:
  • Phone: 480-443-4437
  • Fax: 480-443-4525
Mailing address:
  • Phone: 480-443-4437
  • Fax: 480-443-4525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35731
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: