Individual
DR. CECIL TODD HOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
116 MCCLELLAN RD, PHILIPPI, WV 26416-8076
(304) 457-2800
(304) 457-4011
Mailing address
116 MCCLELLAN RD, PHILIPPI, WV 26416-8076
(304) 457-2800
(304) 457-4011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WV20262
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003803891
—
WV
01
—
P00276759
RAILROAD MEDICARE
WV
Enumeration date
10/05/2005
Last updated
01/21/2023
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