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General NPI Number Information
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NPI Number | 1376513226
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Entity Type | Individual
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Provider Name | THOMAS J. SCHENK M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 08/05/2021
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Provider Practice Location Address
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Address Line | 2900 W RAY RD STE 5
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City | CHANDLER
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State | AZ
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Zip | 85224-7342
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Country | US
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Telephone | 480-471-6934
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Fax | 480-471-6943
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Provider Business Mailing Address
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Address Line | 2900 W RAY RD STE 5
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City | CHANDLER
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State | AZ
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Zip | 85224-7342
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Country | US
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Telephone | 480-471-6934
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Fax | 480-471-6943
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 26538
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 26538
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License Number State | AZ
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