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NPI Code Detail

MEDICARE: DR. MARK A HOLT M.D.

MEDICARE: DR. MARK A HOLT 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
1207X00000XOrthopaedic Surgery Physician35057635OH

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 : 1962498089
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK A HOLT M.D.
Provider Business Mailing Address
First Line : PO BOX 228
Second Line :
City : LOGAN
State : OH
Zip : 43138-0228
Country : US
Telephone Number : 740-380-4181
Fax Number : 740-385-0865
Provider Business Practice Location Address
First Line : 601 STATE ROUTE 664 N
Second Line :
City : LOGAN
State : OH
Zip : 43138-8541
Country : US
Telephone Number : 740-380-8140
Fax Number : 740-380-8150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2005
Last Update Date : 08/21/2025

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Directions to “ DR. MARK A HOLT M.D.” Practice Location

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