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NPI Code Detail

MEDICARE: GEORGE F HOLMES MD

MEDICARE: GEORGE F HOLMES 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician44047CO

Other Identifiers

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

General Provider Information

NPI Number : 1689670333
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE F HOLMES MD
Provider Business Mailing Address
First Line : PO BOX 2725
Second Line :
City : GLENWOOD SPGS
State : CO
Zip : 81602-2725
Country : US
Telephone Number : 970-945-1443
Fax Number : 970-947-9410
Provider Business Practice Location Address
First Line : 1906 BLAKE AVE
Second Line :
City : GLENWOOD SPGS
State : CO
Zip : 81601-4227
Country : US
Telephone Number : 970-384-7607
Fax Number : 970-947-8811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 10/12/2007

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