Individual
MR. DAVID G HOLLAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
NPC
Contact information
Practice address
SCH 100, REXBURG, ID 83460-2010
(208) 456-1300
(208) 456-1306
Mailing address
1025 IONA ST, IDAHO FALLS, ID 83402-1915
(208) 525-8102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP254A
ID
Other
Enumeration date
12/19/2005
Last updated
07/08/2007
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