# DR. CECIL TODD HOLBERT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003803891
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | WV20262 | WV | Yes |

## Other

- **Enumeration date:** 10/05/2005
- **Last updated:** 01/21/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1003803891 | — | WV |
| 01 | — | P00276759 | RAILROAD MEDICARE | WV |