Provider Demographics
NPI:1063173854
Name:HOLZHAUER, AARON JOSEPH (PA-C)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:JOSEPH
Last Name:HOLZHAUER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 PAYNE RD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-3143
Mailing Address - Country:US
Mailing Address - Phone:703-409-8560
Mailing Address - Fax:
Practice Address - Street 1:937 FRANKLIN BLVD
Practice Address - Street 2:
Practice Address - City:LEMOORE
Practice Address - State:CA
Practice Address - Zip Code:93246-0050
Practice Address - Country:US
Practice Address - Phone:559-998-4481
Practice Address - Fax:559-998-4321
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110008695363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant