Individual
ALFRED JOHN HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
597 POINT BROWN AVE NW, OCEAN SHORES, WA 98569
(360) 289-4151
(360) 289-4693
Mailing address
PO BOX 1569, OCEAN SHORES, WA 98569-1569
(360) 289-4151
(360) 289-4693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00042371
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118736
—
WA
Enumeration date
10/26/2006
Last updated
07/08/2007
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