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Individual

MR. PETER D. HOLBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4940 EASTERN AVE, A BLDG, 5TH FLOOR, BALTIMORE, MD 21224-2735
(410) 550-4335
(410) 550-1274
Mailing address
4940 EASTERN AVE, A BLDG, 5TH FLOOR, BALTIMORE, MD 21224-2735
(410) 550-4335
(410) 550-1274

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C-1037
MD

Other

Enumeration date
03/31/2009
Last updated
07/05/2016
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