Individual
WILLIAM R HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-1502
Mailing address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-1502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5370
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00521
BCBS
MT
05
—
043843
—
MT
Enumeration date
11/02/2005
Last updated
12/12/2017
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