Individual
DR. PAUL D SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10510 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-5036
(253) 589-7030
(253) 589-7033
Mailing address
10510 GRAVELLY LAKE DR SW, TACOMA, WA 98499-5036
(253) 597-7030
(253) 597-7033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD000015726
WA
207RN0300X
Nephrology Physician
MD000015726
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065674
LABOR AND INDUSTRIES
WA
01
—
0180985
LABOR & INDUSTRIES IME
WA
01
—
0190391
OMAC-IME
WA
05
—
1062991
—
WA
01
—
215253001
GROUP HEALTH WASHINGTON
WA
01
—
4423SC
REGENCE BS SPECIALIST
WA
01
—
4668902
AETHA INSURANCES
WA
01
—
538388831
CIGNA
WA
01
—
6611SC
REGENCE BS PRIMARY CARE
WA
01
—
911503824
KITSAP HEALTH PLANS
WA
01
—
911503827
PRIVATE HEALTHCARE SYSTEM
WA
Enumeration date
10/11/2005
Last updated
03/04/2013
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