Individual
ROGER HAROLD SCHOENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R7136
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184950A
—
OK
05
—
100229850D
—
KS
01
—
1962834390
GROUP NPI
—
05
—
241978808
—
MO
01
—
MA4695
MEDICARE GROUP PTAN
—
01
—
MA4695001
MEDICARE PROVIDER PTAN
—
Enumeration date
07/13/2006
Last updated
10/15/2019
Update your record
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