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Individual

BRENT WICKER KATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1178 HINEMLU ST, SAIPAN, MP 96950-0409
(670) 234-8951
Mailing address
1178 HINEMLU ST, PO BOX 500409, SAIPAN, MP 96950
(670) 234-8951

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
124
MP
363AM0700X
Medical Physician Assistant
PA.0006841
CO

Other

Enumeration date
08/16/2021
Last updated
03/13/2024
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