Organization
EDWARD M. LITZ, MD. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD M LITZ MD (PRESIDENT)
(304) 327-2475
Entity
Organization
Contact information
Practice address
490 CHERRY ST STE A, BLUEFIELD, WV 24701-3304
(304) 327-2475
(304) 327-1791
Mailing address
490 CHERRY ST STE A, BLUEFIELD, WV 24701-3304
(304) 327-2475
(304) 327-1791
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
09915
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098835000
—
WV
Enumeration date
12/21/2006
Last updated
08/22/2020
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