Provider Demographics
NPI:1376590380
Name:SCHOLD, ALAN CRAIG (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:CRAIG
Last Name:SCHOLD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5802 W MELINDA LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-6257
Mailing Address - Country:US
Mailing Address - Phone:623-825-4708
Mailing Address - Fax:
Practice Address - Street 1:5802 W MELINDA LN
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-6257
Practice Address - Country:US
Practice Address - Phone:623-825-4708
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29169207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MASC A32609Medicare ID - Type Unspecified