Organization
HOLZER CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STOUT B RODNEY MD (CEO)
(740) 446-5000
Entity
Organization
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5385
(740) 446-5310
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5385
(740) 446-5310
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
—
—
246RM2200X
Medical Laboratory Technician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006817002
—
WV
05
—
4046428
—
OH
Enumeration date
05/15/2006
Last updated
01/28/2026
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