Individual
DR. HOLLY MARIE MCCUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11234 ANDERSON STREET, SUITE B623, LOMA LINDA, CA 92354-2804
(909) 558-1000
Mailing address
11234 ANDERSON STREET, SUITE B623, LOMA LINDA, CA 92354-2804
(909) 558-1000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A108373
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0372021
CIGNA
CA
01
—
13479011
IHG
CA
05
—
1588813497
—
CA
01
—
P01477933
RAILROAD MEDICARE
CA
Enumeration date
09/16/2008
Last updated
12/02/2015
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