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NPI Code Detail

MEDICARE: CURTIS BUCHHOLZ PC

MEDICARE: CURTIS BUCHHOLZ PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical LaboratoryAK 4229AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1D25199OTHERAKUPIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770707002
Entity Type Code : Organization
Provider Name (Legal Business Name) : CURTIS BUCHHOLZ PC
Provider Business Mailing Address
First Line : 44455 STERLING HWY
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-7936
Country : US
Telephone Number : 907-262-3557
Fax Number :
Provider Business Practice Location Address
First Line : 44455 STERLING HWY
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-7936
Country : US
Telephone Number : 907-262-3557
Fax Number : 907-262-6505
Authorized Official
Title or Position : OFFICE MANAGER
Name : MS. CAROLE BUCHHOLZ
Credential :
Telephone Number : 605-936-3229
Provider Enumeration Date : 04/11/2007
Last Update Date : 05/04/2017

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