Individual
BRENT WICKER KATZ
Active
Individual
BRENT WICKER KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
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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