Healthcare Provider Details

I. General information

NPI: 1154401636
Provider Name (Legal Business Name): MOUNTAIN VIEW FAMILY MEDICINE PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 12/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33674 OLD VALLEY PIKE
STRASBURG VA
22657-3704
US

IV. Provider business mailing address

33674 OLD VALLEY PIKE
STRASBURG VA
22657-3704
US

V. Phone/Fax

Practice location:
  • Phone: 540-465-8051
  • Fax: 540-465-5008
Mailing address:
  • Phone: 540-465-8051
  • Fax: 540-465-5008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS E HOLTHUS
Title or Position: OWNER/PHYSICIAN
Credential: D.O.
Phone: 540-465-8051