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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