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Individual
DR. TIMOTHY MARK HOTZ
Active
Individual
DR. TIMOTHY MARK HOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
709
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W24226
PTAN
WY
01
—
W24227
MEDICARE PTAN
WY
Enumeration date
06/27/2011
Last updated
05/09/2012
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