Individual
JOHN B HOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12990 MANCHESTER RD, STE 102, SAINT LOUIS, MO 63131-1804
(314) 567-3567
(314) 567-6575
Mailing address
12990 MANCHESTER RD, STE 102, SAINT LOUIS, MO 63131-1804
(314) 567-3567
(314) 567-6575
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
R3N98
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06025871
BLUE CROSS BLUE SHIELD OF
IL
01
—
074803
HEALTH ALLIANCE
—
01
—
0800205
UNITED HEALTHCARE
—
01
—
128620
HEALTHLINK
—
01
—
19098
BLUE CROSS BLUE SHIELD OF
—
01
—
42272
HEALTHCARE USA
—
01
—
56190
OPTICARE
—
01
—
D07409
MERCY HEALTH PLAN
—
Enumeration date
10/10/2005
Last updated
09/25/2007
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