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Organization
GARY C KOHRING & RAYMOND SCHNEIDER PTR
Active
Organization
GARY C KOHRING & RAYMOND SCHNEIDER PTR
Active
Other names
Expresscare
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND H SCHNEIDER III D.O. (MEDICAL DIRECTOR)
(480) 831-0150
Entity
Organization
Contact information
Practice address
2034 S ALMA SCHOOL RD, SUITE 2, MESA, AZ 85210-4004
(480) 831-0150
(480) 839-3492
Mailing address
2034 S ALMA SCHOOL RD, SUITE 2, MESA, AZ 85210-4004
(480) 831-0150
(480) 839-3492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1683
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z6731
HEALTHNET ID
AZ
01
—
5612078
AETNA PIN
—
01
—
CQ2504
RR MEDICARE
AZ
Enumeration date
11/15/2007
Last updated
01/15/2015
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