Individual
DR. MARY E. SCHULTHEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
18275 N 59TH AVE, BLDG M STE #178, GLENDALE, AZ 85308-1260
(602) 993-2622
(602) 993-2922
Mailing address
2320 N 3RD ST, PHOENIX, AZ 85004-1303
(602) 258-9900
(602) 258-9904
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
12859
NV
208C00000X
Colon & Rectal Surgery Physician
Primary
45977
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045965
COVENTRY
AZ
01
—
1181953
CIGNA
AZ
01
—
1831218981
BCBS
AZ
01
—
709188
CMPD
AZ
05
—
709188
—
AZ
01
—
7954905
AETNA
AZ
Enumeration date
03/28/2007
Last updated
08/05/2015
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