Organization
SCHLOTTERER GYNECOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ELIZABETH SCHLOTTERER M.D. (OWNER)
(480) 710-6936
Entity
Organization
Contact information
Practice address
515 W BUCKEYE RD, SUITE # 402, PHOENIX, AZ 85003-2647
(480) 710-6936
(602) 257-9368
Mailing address
515 W BUCKEYE RD, SUITE # 402, PHOENIX, AZ 85003-2647
(480) 710-6936
(602) 257-9368
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
21607
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11032822
CAQH
AZ
05
—
141995
—
AZ
01
—
MICA01035
MICA
AZ
Enumeration date
12/17/2015
Last updated
03/07/2023
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