Individual
DR. DONOVAN SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2002 STOCKTON HILL RD, SUITE 103, KINGMAN, AZ 86401-4698
(928) 753-3303
(928) 753-3603
Mailing address
PO BOX 3909, KINGMAN, AZ 86402-3909
(928) 753-3303
(928) 753-3603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2768
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057324
—
AZ
01
—
3981220
EVERCARE
AZ
01
—
453051001
GROUP HEALTH GRP
AZ
01
—
860373636
HUMANA GROUP
AZ
01
—
AW1436
HEALTHNET GRP
AZ
01
—
AZ0728670
BLUE CROSS BLUE SHIELD GR
AZ
Enumeration date
05/01/2006
Last updated
06/10/2010
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