Individual
DR. PHILIP HOLZKNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
422 HAMILTON BLVD, SOUTH BOSTON, VA 24592-5200
(434) 572-4074
(434) 572-4712
Mailing address
422 HAMILTON BLVD, SOUTH BOSTON, VA 24592-5200
(434) 572-4074
(434) 572-4712
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101244982
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076948
BLUE LINK
TX
05
—
148526001
—
TX
01
—
8F4790
BLUE CROSS BLUE SHIELD
TX
01
—
L3343
MEDICAL LICENSE
TX
01
—
P00045079
MEDICARE RR
TX
Enumeration date
08/10/2006
Last updated
09/21/2020
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