Provider Demographics
NPI:1114903358
Name:SCHWARTZ, JAMES THOMAS (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:THOMAS
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:1595 E RIVER RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5981
Mailing Address - Country:US
Mailing Address - Phone:520-293-5757
Mailing Address - Fax:520-293-7358
Practice Address - Street 1:1595 E RIVER RD
Practice Address - Street 2:SUITE 201
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-5981
Practice Address - Country:US
Practice Address - Phone:520-293-5757
Practice Address - Fax:520-293-7358
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE363207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology