Individual
BRENT EARL SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
370 E VIRGINIA AVENUE, SUITE 100, PHOENIX, AZ 85004
(602) 258-4788
(602) 258-5131
Mailing address
370 E VIRGINIA AVENUE, SUITE 100, PHOENIX, AZ 85004
(602) 258-4788
(602) 258-5131
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ML20009077
WA
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
51020
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055418
—
AZ
Enumeration date
07/19/2007
Last updated
10/01/2015
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