Individual
JEFFREY ALAN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-7046
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-7046
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
57009140
OH
207P00000X
Emergency Medicine Physician
Primary
MD17866
ME
Other
Enumeration date
05/25/2007
Last updated
02/12/2013
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