Provider Demographics
NPI:1417018862
Name:FILTZER, HORST (MD)
Entity Type:Individual
Prefix:
First Name:HORST
Middle Name:
Last Name:FILTZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 CANYON RD BLDG C
Mailing Address - Street 2:SUITE C
Mailing Address - City:BULLHEAD CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86442-8624
Mailing Address - Country:US
Mailing Address - Phone:928-444-1454
Mailing Address - Fax:928-444-1481
Practice Address - Street 1:2500 CANYON RD BLDG C
Practice Address - Street 2:SUITE 3
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-8624
Practice Address - Country:US
Practice Address - Phone:928-444-1454
Practice Address - Fax:928-444-1481
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA294152086S0129X
MT1153562086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ192396Medicaid
MA2004879Medicaid
MAB31077Medicare ID - Type UnspecifiedMEDICARE #
AZ192396Medicaid
AZZ114454Medicare PIN