Individual
ANITA JEAN HOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CEDAR STREET #4 SAN FELIPE PUEBLO, BOX 4344, SAN FELIPE, NM 87001-4529
(505) 867-2739
(505) 867-6527
Mailing address
1700 CERRILLOS RD, SANTA FE, NM 87505-3554
(505) 988-9821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2004-0512
NM
Other
Enumeration date
09/14/2006
Last updated
03/13/2008
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