Organization
JAMESTOWN PHYSICIAN SERVICES OF NY PC
Active
Organization
JAMESTOWN PHYSICIAN SERVICES OF NY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN HOLTZCLAW M.D. (PRESIDENT)
(865) 693-1000
Entity
Organization
Contact information
Practice address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 487-0141
Mailing address
265 BROOKVIEW CENTRE WAY, SUITE 400, KNOXVILLE, TN 37919-4052
(865) 693-1000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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