Healthcare Provider Details

I. General information

NPI: 1215926019
Provider Name (Legal Business Name): DAVID EUGENE SCHLARMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 12/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 E CHERRY ST
TROY MO
63379-1520
US

IV. Provider business mailing address

8 BALLAS CT
SAINT LOUIS MO
63131-3020
US

V. Phone/Fax

Practice location:
  • Phone: 636-528-8686
  • Fax: 636-528-3332
Mailing address:
  • Phone: 314-997-4812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberR6H02
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: