Charles Edward Holtz JR., IDMT
NPI #1104050657 in Grand Forks Afb, North Dakota
Provider Information
- NPI Number
- 1104050657
- Entity Type
- Individual
- Name
- Charles Edward Holtz JR., IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- May 13, 2009
- Last Updated
- May 13, 2009
Practice Location
- Address
- 1599 J ST
- City
- Grand Forks Afb
- State
- North Dakota
- ZIP Code
- 58205-6306
- Phone
- (701) 747-5504
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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