Individual
DR. TODD J. HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 CHURCH ST, WILKES BARRE, PA 18765-0001
(570) 808-3100
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD043652E
PA
207R00000X
Internal Medicine Physician
MD043652E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001673514
—
PA
Enumeration date
03/17/2006
Last updated
08/21/2020
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