# DALE R HOLDIMAN

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

## Provider details

- **NPI number:** 1306894050
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 20689 | IA | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 10/17/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100251443-00 | — | IA |
| 05 | — | 3164657 | — | IA |
| 01 | — | 36901 | WELLMARK BCBS | IA |
| 05 | — | 7782140 | — | IA |