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Individual
PETER S HOLTZ
Active
Individual
PETER S HOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000616
VA
213E00000X
Podiatrist
SC006019
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102414841
—
PA
01
—
CG4514
MEDICARE RAILROAD
VA
01
—
P00818686
RAILROAD MEDICARE
PA
Enumeration date
08/26/2005
Last updated
06/08/2010
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