MEDICARE: GREGORY ALLAN SCHWITZER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	160953-1205	UT
2	207R00000X	Internal Medicine Physician	160953-1205	UT

General Provider Information

NPI Number	:	1144418245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY ALLAN SCHWITZER M.D.

Provider Business Mailing Address
First Line	:	7325 CHRIS LN
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-4803
Country	:	US
Telephone Number	:	801-942-3543
Fax Number	:

Provider Business Practice Location Address
First Line	:	7325 CHRIS LN
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-4803
Country	:	US
Telephone Number	:	801-942-3543
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2007
Last Update Date	:	10/15/2007

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