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Individual

DR. GEORGIA GRACE SCHWARTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1801 E COTATI AVE, STUDENT HEALTH CENTER, ROHNERT PARK, CA 94928-3613
(707) 664-2921
(707) 664-2925
Mailing address
1801 E COTATI AVE, STUDENT HEALTH CENTER, ROHNERT PARK, CA 94928-3613
(707) 664-2921
(707) 664-2925

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
G-22007
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G-22007
LICENSE NUMBER
CA
Enumeration date
03/22/2007
Last updated
07/08/2007
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