Provider Demographics
NPI:1053386987
Name:SCHMITT, WILLIAM RALPH (MD)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:RALPH
Last Name:SCHMITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1100 N PALM CANYON DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262
Mailing Address - Country:US
Mailing Address - Phone:760-322-3166
Mailing Address - Fax:706-322-9309
Practice Address - Street 1:1100 N PALM CANYON DR
Practice Address - Street 2:SUITE 107
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262
Practice Address - Country:US
Practice Address - Phone:760-322-3166
Practice Address - Fax:706-322-9309
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG37914207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G379140Medicaid
CAZZZ50078YOtherBLUE SHIELD
CAGR0105270Medicaid
CA00G379140Medicaid
CAOOG379140Medicare ID - Type Unspecified