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NPI Code Detail

MEDICARE: JULIE ANNE HOLZ DO

MEDICARE: JULIE ANNE HOLZ DO
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
1208000000XPediatrics Physician0101234971VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
272820OTHERVAOPTIMA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205899796
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE ANNE HOLZ DO
Provider Business Mailing Address
First Line : 500 DISCOVERY DR STE 302
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-3871
Country : US
Telephone Number : 757-668-2500
Fax Number : 757-668-2510
Provider Business Practice Location Address
First Line : 500 DISCOVERY DR STE 302
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-3871
Country : US
Telephone Number : 757-668-2500
Fax Number : 757-668-2510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 07/05/2024

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