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NPI Code Detail

MEDICARE: JAMES VOLZ

MEDICARE:   JAMES  VOLZ
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
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1801261706
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES VOLZ
Provider Business Mailing Address
First Line : 1866 W NEW HOPE RD
Second Line :
City : BOONVILLE
State : IN
Zip : 47601-9373
Country : US
Telephone Number : 812-897-2645
Fax Number :
Provider Business Practice Location Address
First Line : 1866 W NEW HOPE RD
Second Line :
City : BOONVILLE
State : IN
Zip : 47601-9373
Country : US
Telephone Number : 812-897-2645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2015
Last Update Date : 12/03/2015

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Directions to “ JAMES VOLZ ” Practice Location

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