Basic Information
| Provider Information | |||||||||
| NPI: | 1346213238 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHWARTZKOPF | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 32 | ||||||||
| Address2: | |||||||||
| City: | LIBERTY LAKE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 990190032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5095298905 | ||||||||
| FaxNumber: | 5095268402 | ||||||||
| Practice Location | |||||||||
| Address1: | 380 CHASE AVE | ||||||||
| Address2: | |||||||||
| City: | WALLA WALLA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 993622924 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5095258110 | ||||||||
| FaxNumber: | 5095225743 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/10/2006 | ||||||||
| LastUpdateDate: | 03/25/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/25/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 19404 | NE | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MD60390116 | WA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.