Thomas Koritz Clinic

NPI 1831173558 - Clinic/Center - 261QM1101X

NPI Details
NPI 1831173558
Enumeration Date 12/06/2005
Last Updated 04/17/2014
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name THERESA MARIE THERESA
Position AIR FORCE UBO PROGRAM ANALYST
Phone (919) 722-1812
Fax
Practice Location
1050 JABARA AVENUE
SEYMOUR JOHNSON AFB NC, 27531-2310, US
Phone (919) 722-1812
Fax
Business Location
1050 JABARA AVENUE
SEYMOUR JOHNSON AFB NC, 27531-2310, US
Phone (919) 722-1812
Fax
Toxanomy
Taxonomy Code 261QM1101X
License State
License Number
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According to our database, Thomas Koritz Clinic NPI is 1831173558, taxonomy code is 261QM1101X Thomas Koritz Clinic physically located at 1050 Jabara Avenue, Seymour Johnson Afb NC, 27531-2310. NPI Number 1033115704 has the healthcare provider type.

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1831173558 NPI number is provided on an as is basis without warranty of any kind. 1831173558 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Koritz Clinic are for informational purposes only.