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NPI Code Detail

MEDICARE: DR. JOHN R HOLMAN MD

MEDICARE:  DR. JOHN R HOLMAN  MD
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
1207Q00000XFamily Medicine Physician13250NV

General Provider Information

NPI Number : 1215938394
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN R HOLMAN MD
Provider Business Mailing Address
First Line : PO BOX 4540
Second Line :
City : CARSON CITY
State : NV
Zip : 89702-4540
Country : US
Telephone Number : 775-882-0430
Fax Number : 775-852-6902
Provider Business Practice Location Address
First Line : 925 IRONWOOD DR
Second Line : SUITE 2102
City : MINDEN
State : NV
Zip : 89423-5178
Country : US
Telephone Number : 775-445-7745
Fax Number : 775-782-0073
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 09/18/2014

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Directions to “ DR. JOHN R HOLMAN MD” Practice Location

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