Organization
DAVID T HOLMES MD PC
Active
Organization
DAVID T HOLMES MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID T HOLMES MD (PRESIDENT)
(260) 459-1100
Entity
Organization
Contact information
Practice address
7224 ENGLE RD # 120, FORT WAYNE, IN 46804-2222
(260) 459-1100
Mailing address
7224 ENGLE RD # 120, FORT WAYNE, IN 46804-2222
(260) 459-1100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01055252A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200361790A
—
IN
01
—
260048997
RAILROAD MEDICARE
IN
Enumeration date
04/16/2007
Last updated
05/07/2008
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