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Individual

DAVID GLENN HOLST

Active
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Individual

DAVID GLENN HOLST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G76027
CA
207VX0000X
Obstetrics Physician
G76027
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G760270
—
CA
01
—
080080840
RAILROAD MEDICARE
—
Enumeration date
09/09/2005
Last updated
09/19/2013
About Stedi
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