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Individual

JOSEPH WILLIAM BALTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EMT

Contact information

Practice address
BLDG 301 ANDRES AVE, LYSTER ARMY HEALTH CLINIC, FT. RUCKER, AL 36362-5333
(334) 255-7894
(334) 255-7368
Mailing address
BLDG 301 ANDRES AVE, LYSTER ARMY HEALTH CLINIC, FT. RUCKER, AL 36362-5333
(334) 255-7894
(334) 255-7368

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B1828724
TX

Other

Enumeration date
10/01/2010
Last updated
10/01/2010
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