Individual
MARK EDWARD HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1928 HARPER RD, BECKLEY, WV 25801-2612
(304) 252-1299
(304) 253-4079
Mailing address
1928 HARPER RD, BECKLEY, WV 25801-2612
(304) 252-1299
(304) 253-4079
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
817 OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002000000
—
WV
Enumeration date
05/18/2006
Last updated
07/12/2010
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