Organization
BOLTZ PAIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A. BOLTZ M.D. (PRESIDENT)
(251) 626-9544
Entity
Organization
Contact information
Practice address
1 TIMBER WAY, SUITE 203, SPANISH FORT, AL 36527-5682
(251) 626-9544
Mailing address
1 TIMBER WAY, SUITE 203, SPANISH FORT, AL 36527-5682
(251) 626-9544
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD.21886
AL
Other
Enumeration date
10/12/2008
Last updated
10/12/2008
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