Healthcare Provider Details

I. General information

NPI: 1457368029
Provider Name (Legal Business Name): JOHN BURR SCHLAERTH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 08/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2011 19TH STREET
BAKERSFIELD CA
93301-4211
US

IV. Provider business mailing address

P.O. BOX 8410
PASADENA CA
91109-8410
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-1401
  • Fax: 661-326-1411
Mailing address:
  • Phone: 661-326-1401
  • Fax: 661-326-1411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberG18591
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: