Individual
MR. DOUGLAS P HOLMES JR.
Active
Individual
MR. DOUGLAS P HOLMES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R043168
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C001100
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12605613
CAQH PROVIDER NUMBER
AR
05
—
134707701
—
AR
01
—
1407883721
ARKANSAS BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/26/2006
Last updated
05/18/2015
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