Doctor Name: | STETSON ROBERT SCHMITT |
NPI Number: | 1063752160 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 2012037670 |
Business Practice Address: | 937 Franklin Blvd Lemoore, CA - 932464700 |
Business Phone Number: | 4173491747 |
Business Fax Number: | |
Mailing Address: | 937 Franklin Blvd, LEMOORE |
State: | CA |
Postal Code: | 932464700 |
Phone Number: | 4173491747 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2013 |
NPI Last Update Date: | 02/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 2012037670 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |