MEDICARE: IAN CRAIG HOLLAND 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
1	207R00000X	Internal Medicine Physician	7681308	ID

General Provider Information

NPI Number	:	1851239024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IAN CRAIG HOLLAND MD

Provider Business Mailing Address
First Line	:	500 W FORT ST # 111R
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83702-4599
Country	:	US
Telephone Number	:	208-422-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 W FORT ST # 111R
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83702-4599
Country	:	US
Telephone Number	:	208-422-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	04/15/2026

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Directions to “ IAN CRAIG HOLLAND MD” Practice Location

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