Individual
TABATHA HOLTZ MATTHIAS
Active
Individual
TABATHA HOLTZ MATTHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
899
NE
207R00000X
Internal Medicine Physician
DOS 1236
HI
207R00000X
Internal Medicine Physician
DOS1236
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2007
Last updated
10/23/2012
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