Individual
MR. WILLIAM ANTHONY SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
673 MDG, 5955 ZEAMER AVENUE, JBER, AK 99506
(210) 350-2440
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-9908
(210) 350-2440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1062015
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59-3310324
TAXID
FL
Enumeration date
04/19/2006
Last updated
02/12/2020
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