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Individual

DOUGLAS L HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
307 S JACKSON ST, CASPER, WY 82601-2908
(307) 237-3937
(307) 237-0670
Mailing address
307 S JACKSON ST, CASPER, WY 82601-2908
(307) 237-3937
(307) 237-0670

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
30384
CO
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
8868A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01303841
CO
Enumeration date
05/16/2006
Last updated
11/07/2019
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