Provider Demographics
NPI:1700022175
Name:SCHUCK, HERBER I (ND)
Entity Type:Individual
Prefix:DR
First Name:HERBER
Middle Name:I
Last Name:SCHUCK
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6767 N 7TH ST UNIT 220
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-1011
Mailing Address - Country:US
Mailing Address - Phone:602-263-7806
Mailing Address - Fax:602-274-0766
Practice Address - Street 1:6767 N 7TH ST UNIT 220
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-1011
Practice Address - Country:US
Practice Address - Phone:602-263-7806
Practice Address - Fax:602-274-0766
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ03-730207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine