Individual
JOHN-MARK STOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
777 HIGH ST, WILLIAMSPORT, PA 17701
(570) 321-1000
Mailing address
PO BOX 758984, BALTIMORE, MD 21275-8984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055708
PA
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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