Individual
MR. PATRICK LAVERN HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1454 N FEDERAL AVE, MASON CITY, IA 50401-1268
(641) 421-8640
(641) 421-8640
Mailing address
1454 N FEDERAL AVE, MASON CITY, IA 50401-1268
(641) 421-8640
(641) 421-8640
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1-17-010888 M
IA
Other
Enumeration date
01/20/2014
Last updated
01/20/2014
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