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Individual

DR. RICHARD PHILLIP HOLM

Active
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Individual

DR. RICHARD PHILLIP HOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
200401073
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139AM
BLUE CROSS/ BLUE SHIELD
NC
01
P00670232
RR MEDICARE
NC
Enumeration date
02/01/2006
Last updated
01/20/2022
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