Mr Gregory Michael Holtzman, DC | |
1402 Nw Ferris Ave, Lawton, OK 73507-5747 | |
(580) 248-4212 | |
(580) 248-4214 |
Full Name | Mr Gregory Michael Holtzman |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 19 Years |
Location | 1402 Nw Ferris Ave, Lawton, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811080112 | NPI | - | NPPES |
5665360 | Other | OK | PPO CCN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3742 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carl T Lail Dc Pc | 0042123440 | 2 |
Provider Name | Carl T Lail Dc Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164506093 PECOS PAC ID: 0042123440 Enrollment ID: O20031111000643 |
Mailing Address | Practice Location Address |
---|---|
Mr Gregory Michael Holtzman, DC 6204 Nw Elm Ave, Lawton, OK 73505-4435 Ph: (580) 510-3212 | Mr Gregory Michael Holtzman, DC 1402 Nw Ferris Ave, Lawton, OK 73507-5747 Ph: (580) 248-4212 |
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