Individual
MR. JOE B HOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
421 NORTH AVENUE F, CROWLEY, LA 70526
(337) 788-0832
(337) 783-6210
Mailing address
P.O. BOX 2098, 421 NORTH AVENUE F, CROWLEY, LA 70526
(337) 788-0832
(337) 783-6210
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
007957
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027359
—
LA
01
—
52065
MEDICARE ID
LA
Enumeration date
02/02/2006
Last updated
01/13/2009
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