Individual
DR. JEREMY PATRICK HOLTER
Active
Individual
DR. JEREMY PATRICK HOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22964
OK
208000000X
Pediatrics Physician
22964
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200057970A
—
OK
Enumeration date
06/13/2006
Last updated
08/30/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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