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NPI Code Detail

MEDICARE: DR. FREDERIC N. SCHWARTZ DO

MEDICARE: DR. FREDERIC N. SCHWARTZ DO
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
1207Q00000XFamily Medicine Physician3028AZ

General Provider Information

NPI Number : 1538210943
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FREDERIC N. SCHWARTZ DO
Provider Business Mailing Address
First Line : 3511 E ROSE LN
Second Line :
City : PARADISE VALLEY
State : AZ
Zip : 85253-3735
Country : US
Telephone Number : 602-956-9430
Fax Number :
Provider Business Practice Location Address
First Line : 2500 E VAN BUREN ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-6037
Country : US
Telephone Number : 602-220-6073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2007
Last Update Date : 07/08/2007

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