Individual
GREGORY P SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M6210
ID
208000000X
Pediatrics Physician
MD00040525
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0210278
LABOR & INDUSTRIES
WA
05
—
1000325
—
WA
01
—
1013090828
REGENCE BLUE CROSS
ID
05
—
1013090828
—
ID
01
—
1127194
DMERC
ID
01
—
841377860
MISCELLANEOUS INSURANCE
ID
01
—
DF391
BLUE CROSS
ID
Enumeration date
10/23/2006
Last updated
03/07/2016
Update your record
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