Individual
DR. TIMOTHY MARK HOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1820 DILLON AVE, SUITE 200B, CHEYENNE, WY 82001-4252
(307) 426-4085
Mailing address
1820 DILLON AVE, SUITE 200B, CHEYENNE, WY 82001-4252
(307) 426-4085
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
709
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W24226
PTAN
WY
01
—
W24227
MEDICARE PTAN
WY
Enumeration date
06/27/2011
Last updated
05/09/2012
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