Individual
MATTHEW SCHMIDGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 N 12TH ST, SUITE 605, PHOENIX, AZ 85006-2848
(602) 839-4567
Mailing address
1300 N 12TH ST, SUITE 605, PHOENIX, AZ 85006-2848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5555555
AZ
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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