Organization
JOHN F. WILTZ PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN F. WILTZ M.D. (DOCTOR)
(304) 675-4107
Entity
Organization
Contact information
Practice address
2801 JACKSON AVE, PT PLEASANT, WV 25550-1713
(304) 675-4107
(304) 675-4233
Mailing address
2801 JACKSON AVE, PT PLEASANT, WV 25550-1713
(304) 675-4107
(304) 675-4233
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18090
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109733000
—
WV
05
—
0189415
—
OH
Enumeration date
11/14/2006
Last updated
08/22/2020
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