Individual
DR. MITCHELL S BOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2999 S VIRGINIA ST, RENO, NV 89502-4216
(775) 827-5995
(775) 827-3216
Mailing address
2999 S VIRGINIA ST, RENO, NV 89502-4216
(775) 827-5995
(775) 827-3216
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B01169
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038-008997
PHYSICIAN LICENSE
IL
01
—
B01169
PHYSICIAN LICENSE
NV
Enumeration date
02/01/2006
Last updated
12/31/2008
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