MEDICARE: DR. ROY E SCHUTZENGEL MD, MBA

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	208000000X	Pediatrics Physician	029102	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548261522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROY E SCHUTZENGEL MD, MBA

Provider Business Mailing Address
First Line	:	3840 CRONDALL DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95864-6038
Country	:	US
Telephone Number	:	916-591-1614
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 RESPONSE RD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95815-4807
Country	:	US
Telephone Number	:	916-614-4060
Fax Number	:

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	08/19/2011

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