MEDICARE: JERRY SCHWARTZ, MD INTERNAL MEDICINE

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	207R00000X	Internal Medicine Physician	6541	NV

General Provider Information

NPI Number	:	1548479264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JERRY SCHWARTZ, MD INTERNAL MEDICINE

Provider Business Mailing Address
First Line	:	7395 S PECOS RD STE 102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3768
Country	:	US
Telephone Number	:	702-737-8657
Fax Number	:	702-737-5446

Provider Business Practice Location Address
First Line	:	7395 S PECOS RD STE 102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3768
Country	:	US
Telephone Number	:	702-737-8657
Fax Number	:	702-737-5446

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. SIMONE SCHWARTZ
Credential	:
Telephone Number	:	702-737-8657

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	09/27/2023

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