Individual
DR. CRAIG D HOLMAN
Active
Individual
DR. CRAIG D HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
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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