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NPI Code Detail

MEDICARE: DR. EDWARD J SCHWAGER M.D.

MEDICARE: DR. EDWARD J SCHWAGER 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
1207QG0300XGeriatric Medicine (Family Medicine) Physician14949AZ
2207Q00000XFamily Medicine Physician14949AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080143866OTHERAZRAILROAD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730168303
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD J SCHWAGER M.D.
Provider Business Mailing Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Provider Business Practice Location Address
First Line : 1230 S CHERRYBELL STRA
Second Line :
City : TUCSON
State : AZ
Zip : 85713-1907
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 01/30/2025

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