CHARLES HOLTZ JR., IDMT

Military Health Care Provider - Independent Duty Medical Technicians

Active Individual
NPI: 1104050657

Practice Address

1599 J ST
Grand Forks Afb, ND 58205

Phone: (701) 747-5504

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Medical Technicians 1710I1003X Yes -

Frequently Asked Questions

NPI 1104050657 is the National Provider Identifier for CHARLES HOLTZ JR., IDMT, a Military Health Care Provider - Independent Duty Medical Technicians provider located in Grand Forks Afb, ND. This NPI was enumerated on May 13, 2009.
CHARLES HOLTZ JR., IDMT practices at 1599 J ST, Grand Forks Afb, ND 58205.

Quick Facts

NPI
1104050657
Type
Individual
Enumerated
May 13, 2009
Last Updated
May 13, 2009

Nearby Providers