# WALZ FAMILY MEDICINE, P.S.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245251271
- **Authorized official:** DR. JON H. WALZ JR. D.O. (PHYSICIAN)
- **Authorized official phone:** (606) 327-0077

## Contact information

- **Practice address:** 1000 ASHLAND DR, SUITE 105, ASHLAND, KY 41101-7084
- **Practice address phone:** (606) 327-0077
- **Practice address fax:** (606) 833-9453
- **Mailing address:** PO BOX 936, FLATWOODS, KY 41139-0936
- **Mailing address phone:** (606) 327-0077
- **Mailing address fax:** (606) 833-9453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02629 | KY | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 03/19/2008