Individual
JOHN J HOLTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 7005B, SAINT LOUIS, MO 63141-8232
(314) 991-3668
(314) 991-3665
Mailing address
PO BOX 78219, SAINT LOUIS, MO 63178-8219
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000765
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303848519
—
MO
Enumeration date
01/26/2006
Last updated
07/26/2011
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