Healthcare Provider Details

I. General information

NPI: 1245206226
Provider Name (Legal Business Name): KARL A. HOLZINGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 09/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JARRETT WHITE ROAD TRIPLER ARMY MEDICAL CENTER SURGERY DEPARTMENT
HONOLULU HI
96859-5000
US

IV. Provider business mailing address

1 JARRETT WHITE ROAD TRIPLER ARMY MEDICAL CENTER SURGERY DEPARTMENT
HONOLULU HI
96859-5000
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-6036
  • Fax: 808-433-9236
Mailing address:
  • Phone: 808-433-6036
  • Fax: 808-433-9236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number11048
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: