Doctor Name: | MRS. ASHLEIGH JILL STOLTZ |
NPI Number: | 1730442880 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PAC |
License Number: | |
Business Practice Address: | 136 South Pine Avenue Stoystown, PA - 15563 |
Business Phone Number: | 8148935568 |
Business Fax Number: | |
Mailing Address: | 371 Sunset Road, FRIEDENS |
State: | PA |
Postal Code: | 15541 |
Phone Number: | 8147011044 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2012 |
NPI Last Update Date: | 06/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |