MEDICARE: JUDY L SCHMIDT, MD/PC

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	207RH0003X	Hematology & Oncology Physician	6372	MT

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	:	1871672428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUDY L SCHMIDT, MD/PC

Provider Business Mailing Address
First Line	:	PO BOX 952274
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75395-0001
Country	:	US
Telephone Number	:	406-721-1118
Fax Number	:	406-728-4055

Provider Business Practice Location Address
First Line	:	2835 FORT MISSOULA RD.
Second Line	:	SUITE 301
City	:	MISSOULA
State	:	MT
Zip	:	59804-7424
Country	:	US
Telephone Number	:	406-721-1118
Fax Number	:	406-728-4055

Authorized Official
Title or Position	:	OWNER
Name	:	JUDY L SCHMIDT
Credential	:	MD
Telephone Number	:	406-721-1118

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	04/28/2009

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