Provider Demographics
NPI:1891779609
Name:SOLIZ, BILL ANDREW (PA-C)
Entity Type:Individual
Prefix:MR
First Name:BILL
Middle Name:ANDREW
Last Name:SOLIZ
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 1:20223 BIDDLE RD
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-7458
Mailing Address - Country:US
Mailing Address - Phone:703-231-8692
Mailing Address - Fax:
Practice Address - Street 1:473 CABRILLO STREET
Practice Address - Street 2:BLDG 422
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93944-7458
Practice Address - Country:US
Practice Address - Phone:703-231-8692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA 9106133363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant