Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | D0015520 | MD |
NPI | 1033195987 |
---|---|
Provider Name | Dr. Richard Gareth Holz |
First Address | Frederick, MD 21702-4423 |
Second Address | Frederick, MD 21702-4423 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2005 |
Last Update Date | 16/10/2007 |