M.D. Othon Wiltz, NPI 1174525869
Colon & Rectal Surgery Physician in Fairfax, VA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1174525869
NPI Entity Type Individual
Provider Name M.D. Othon Wiltz
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3620 Joseph Siewick Dr Ste 406, Fairfax, VA, US
Provider Mailing Address 3620 Joseph Siewick Dr, Suite 406, Fairfax, VA, US, 22033
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

208C00000X

Taxonomy Name Colon & Rectal Surgery Physician
Classification

Colon & Rectal Surgery

Group

Allopathic & Osteopathic Physicians

License No. 0101240155
License State VA
Description A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Business Address

M.D. Othon Wiltz
3620 Joseph Siewick Dr Ste 406

Fairfax, VA, US

Phone: 703-359-8640
Fax: 703-591-6105

Mailing Address

M.D. Othon Wiltz
3620 Joseph Siewick Dr
Suite 406
Fairfax, VA, US
ZIP 22033
Phone: 703-359-8640
Fax: 703-591-6105

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

208C00000X

Allopathic & Osteopathic Physicians

Colon & Rectal Surgery

11687 PR No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
060957 PR LA CRUZ AZUL 01
601049 PR MMM 01
SE4019 PR PALIC 01
1174525869 VA MEDICAID 05
1400005 PR HUMANA 01
311678 PR CIGNA 01
7113 PR IMC 01
89937 PR SSS 01

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