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Individual

DR. JOHN T HOLDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1414 116TH AVE NE, SUITE E, BELLEVUE, WA 98004-3801
(425) 455-9555
(425) 454-2044
Mailing address
2701 1ST AVE, SUITE 320, SEATTLE, WA 98121-1123
(206) 448-2516
(206) 448-6473

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00014445
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0178978
L & I
WA
05
1092295
WA
Enumeration date
06/28/2006
Last updated
04/13/2011
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