Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | 1263 | NE |
Y | 213ER0200X | Radiology | 1263 | NE |
NPI | 1174617112 |
---|---|
Provider Name | Orvil W Holz |
First Address | Oneill, NE 68763-1532 |
Second Address | Oneill, NE 68763-1532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |