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Organization

GARY C KOHRING & RAYMOND SCHNEIDER PTR

Active
Other names
Expresscare
Organization subpart
No

Provider details

NPI number
Authorized official
RAYMOND H SCHNEIDER III D.O. (MEDICAL DIRECTOR)
(480) 831-0150
Entity
Organization

Contact information

Practice address
2034 S ALMA SCHOOL RD, SUITE 2, MESA, AZ 85210-4004
(480) 831-0150
(480) 839-3492
Mailing address
2034 S ALMA SCHOOL RD, SUITE 2, MESA, AZ 85210-4004
(480) 831-0150
(480) 839-3492

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1683
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1Z6731
HEALTHNET ID
AZ
01
5612078
AETNA PIN
01
CQ2504
RR MEDICARE
AZ
Enumeration date
11/15/2007
Last updated
01/15/2015
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