Individual
DR. JON H. WALZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 ASHLAND DR, SUITE 105, ASHLAND, KY 41101-7057
(606) 327-0077
(606) 833-9453
Mailing address
105 PONDER CT, STE 104, DANVILLE, KY 40422-9050
(606) 327-0077
(606) 833-9453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02629
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64990468
—
KY
Enumeration date
05/15/2006
Last updated
06/12/2019
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