Provider Demographics
NPI:1245454990
Name:SCHWARTZ, MARC (DO)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1351 N ALMA SCHOOL RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5936
Mailing Address - Country:US
Mailing Address - Phone:480-272-1398
Mailing Address - Fax:866-831-1158
Practice Address - Street 1:1351 N ALMA SCHOOL RD
Practice Address - Street 2:SUITE 205
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5936
Practice Address - Country:US
Practice Address - Phone:480-272-1398
Practice Address - Fax:866-831-1158
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ46102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry