Individual
GARY STOLTZ IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
739 IRVING AVE, SUITE 600, SYRACUSE, NY 13210-1651
(315) 701-2550
(315) 701-2551
Mailing address
739 IRVING AVE, SUITE 600, SYRACUSE, NY 13210-1651
(315) 701-2550
(315) 701-2551
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
012102
NY
Other
Enumeration date
11/18/2007
Last updated
12/02/2014
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