Individual
NATHAN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
(208) 459-4641
Mailing address
15230 WICKLOW LN, CALDWELL, ID 83607-8372
(586) 332-9427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101021126
MI
207R00000X
Internal Medicine Physician
Primary
O-1033
ID
Other
Enumeration date
07/01/2014
Last updated
12/31/2017
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