Individual
MARK STEPHEN HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13861 MANCHESTER RD, MANCHESTER, MO 63011-4503
(636) 220-9333
Mailing address
13861 MANCHESTER RD, MANCHESTER, MO 63011-4503
(636) 220-9333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2020032233
MO
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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