Provider Demographics
NPI:1487691945
Name:SCHOTT, DIANA L (MD)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:L
Last Name:SCHOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:400 WARREN AVE
Mailing Address - Street 2:STE. 300
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98337-1487
Mailing Address - Country:US
Mailing Address - Phone:360-478-2366
Mailing Address - Fax:360-373-2096
Practice Address - Street 1:616 6TH ST
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98337-1420
Practice Address - Country:US
Practice Address - Phone:360-377-3776
Practice Address - Fax:415-897-2446
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2013-03-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WA60318100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA52999Medicare UPIN