Individual
DR. CRAIG D HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
496 SHOUP AVE W STE B, TWIN FALLS, ID 83301-5043
(208) 734-7676
(208) 736-8378
Mailing address
496 SHOUP AVE W STE B, TWIN FALLS, ID 83301-5043
(208) 734-7676
(208) 736-8378
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
P119
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010015646
REGENCE BLUE SHIELD OF ID
ID
05
—
002143900
—
ID
05
—
1093924813
—
ID
01
—
4134570001
DMERC
ID
01
—
480031477
RAILROAD MEDICARE
ID
01
—
820491190
PRIVATE INSURANCES
ID
01
—
P2397
BLUE CROSS OF IDAHO
ID
Enumeration date
05/21/2007
Last updated
08/03/2010
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