Individual
DALE R HOLDIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
624 JONES ST, STE 5400, SIOUX CITY, IA 51105-1924
(712) 279-2510
(712) 279-2519
Mailing address
PO BOX 328, SIOUX CITY, IA 51102-0328
(712) 279-5830
(712) 279-5883
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20689
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251443-00
—
IA
05
—
3164657
—
IA
01
—
36901
WELLMARK BCBS
IA
05
—
7782140
—
IA
Enumeration date
05/05/2006
Last updated
10/17/2007
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