Doctor Name: | DR. COLLEEN SCHWARTZ |
NPI Number: | 1003920851 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.M. |
License Number: | E4134 |
Business Practice Address: | 273 Spring St Pleasanton, CA - 945666625 |
Business Phone Number: | 9252647760 |
Business Fax Number: | |
Mailing Address: | Po Box 400, PLEASANTON |
State: | CA |
Postal Code: | 945660039 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0000X |
License Number: | E4134 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Sports Medicine |
Taxonomy Definition: |