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Individual

RICHARD A SCHMALTZ

Active
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Individual

RICHARD A SCHMALTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MDR2F02
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202169900
MO
01
330002753
RR MEDICARE
MO
01
P00420903
RAILROAD MEDICARE
MO
Enumeration date
06/16/2006
Last updated
04/25/2012
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