Individual
JOHN CARLYLE SCHLABACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL ROAD, GANADO, AZ 86515
(928) 755-4632
(928) 755-4831
Mailing address
1507 W MAIN ST, GATESVILLE, TX 76528-1024
(254) 865-8251
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01037080A
IN
207P00000X
Emergency Medicine Physician
24456
AZ
207P00000X
Emergency Medicine Physician
M5489
TX
207Q00000X
Family Medicine Physician
01037080A
IN
207Q00000X
Family Medicine Physician
Primary
24456
AZ
207Q00000X
Family Medicine Physician
MD20060005
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360397
—
AZ
05
—
360397
—
IN
05
—
75208300
—
NM
Enumeration date
11/08/2005
Last updated
04/10/2025
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