Individual
MR. ROBERT R HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
189 PROUTY DR, EMERGENCY DEPT, NEWPORT, VT 05855-9326
(802) 334-4111
(802) 334-3281
Mailing address
189 PROUTY DR, EMERGENCY DEPT, NEWPORT, VT 05855-9326
(802) 334-4111
(802) 334-3281
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0420005067
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00005011
BLUE SHIELD
VT
05
—
0005011
—
VT
Enumeration date
08/31/2006
Last updated
07/08/2007
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