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Individual

MARK H SCHWAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1040 MANGROVE AVE, CHICO, CA 95926-3509
(530) 345-0064
Mailing address
1040 MANGROVE AVE, CHICO, CA 95926-3509
(530) 345-0064

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00027258
AL
207P00000X
Emergency Medicine Physician
A104792
CA
208D00000X
General Practice Physician
Primary
A104792
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051538382
BCBS
AL
05
051538382
AL
05
1134137722
CA
Enumeration date
08/03/2006
Last updated
08/22/2022
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