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NPI Code Detail

MEDICARE: MARK A. SCHWARTZ PA-C

MEDICARE:   MARK A. SCHWARTZ  PA-C
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
1363A00000XPhysician Assistant1918CO

Other Identifiers

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

General Provider Information

NPI Number : 1932268000
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK A. SCHWARTZ PA-C
Provider Business Mailing Address
First Line : PO BOX 576
Second Line :
City : DOVE CREEK
State : CO
Zip : 81324-0576
Country : US
Telephone Number : 970-677-2291
Fax Number : 970-677-2540
Provider Business Practice Location Address
First Line : 495 W 4TH ST
Second Line :
City : DOVE CREEK
State : CO
Zip : 81324-0576
Country : US
Telephone Number : 970-677-2291
Fax Number : 970-677-2540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 03/07/2023

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Directions to “ MARK A. SCHWARTZ PA-C” Practice Location

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