Individual
JOHN MATTHEW BOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Mailing address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
117127
IA
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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