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Individual

MR. DAVID J WELTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
18101 PRINCE PHILIP DR, OLNEY, MD 20832-1514
(301) 774-8618
Mailing address
PO BOX 79977, BALTIMORE, MD 21279-0977

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
042670
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
403904100
MD
Enumeration date
01/11/2007
Last updated
12/11/2012
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