Individual
CODY BOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1108 NORTHVIEW DR STE 1, HILLSBORO, OH 45133-1191
(570) 343-2383
Mailing address
1108 NORTHVIEW DR STE 1, HILLSBORO, OH 45133-1191
(937) 393-5781
(937) 393-5784
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
06/01/2023
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