MEDICARE: DR. MARK LEON SCHWARTZ DC

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	111N00000X	Chiropractor	1504	NM

General Provider Information

NPI Number	:	1821097544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK LEON SCHWARTZ DC

Provider Business Mailing Address
First Line	:	4550 EUBANK BLVD NE
Second Line	:	SUITE 107
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-3479
Country	:	US
Telephone Number	:	505-332-1006
Fax Number	:	505-332-0400

Provider Business Practice Location Address
First Line	:	4550 EUBANK BLVD NE
Second Line	:	SUITE 107
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-3479
Country	:	US
Telephone Number	:	505-332-1006
Fax Number	:	505-332-0400

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. MARK LEON SCHWARTZ DC” Practice Location

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