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NPI Code Detail

MEDICARE: DR. DAVID L HOLLAND M.D.

MEDICARE:  DR. DAVID L HOLLAND  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician7684NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2CS8071OTHERNVNV PHARMACY

General Provider Information

NPI Number : 1730216136
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID L HOLLAND M.D.
Provider Business Mailing Address
First Line : 4452 DESERT BLOOM CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-1812
Country : US
Telephone Number : 702-614-6550
Fax Number : 702-614-6562
Provider Business Practice Location Address
First Line : 3059 S MARYLAND PKWY
Second Line : #202
City : LAS VEGAS
State : NV
Zip : 89109-2294
Country : US
Telephone Number : 702-614-6550
Fax Number : 702-614-6562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 02/25/2008

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Directions to “ DR. DAVID L HOLLAND M.D.” Practice Location

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