Individual
MARK R WOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
(775) 885-4327
(775) 884-0345
Mailing address
PO BOX 21609, CARSON CITY, NV 89721-1609
(775) 884-2455
(775) 884-0345
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
10185
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609946094
—
NV
Enumeration date
11/09/2006
Last updated
11/23/2009
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