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Individual

GERALD R SCHULTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
58471 29 PALMS HWY, SUITE 302, YUCCA VALLEY, CA 92284-5818
(760) 228-1766
(760) 228-9830
Mailing address
58471 29 PALMS HWY, SUITE 302, YUCCA VALLEY, CA 92284-5818
(760) 228-1766
(760) 228-9830

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G14295
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G142951
CA
Enumeration date
08/30/2005
Last updated
10/14/2008
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