Organization
JEAN A HOLDREN DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN A HOLDREN DO (PHYSICIAN OWNER OF PRACTICE)
(330) 386-5004
Entity
Organization
Contact information
Practice address
16687 ST CLAIR AVE, SUITE 108, EAST LIVERPOOL, OH 43920
(330) 386-5004
(330) 386-6355
Mailing address
16687 ST CLAIR AVE, SUITE 108, EAST LIVERPOOL, OH 43920
(330) 386-5004
(330) 386-6355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0S009111L
PA
207R00000X
Internal Medicine Physician
Primary
34006738
OH
Other
Enumeration date
08/11/2006
Last updated
09/21/2011
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