Organization
PAIGE C. HOLT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE C. HOLT MD (PHYSICIAN)
(309) 664-4444
Entity
Organization
Contact information
Practice address
2502 E EMPIRE ST, STE C, BLOOMINGTON, IL 61704-3738
(310) 664-4444
(309) 664-5006
Mailing address
2502 E EMPIRE ST, STE C, BLOOMINGTON, IL 61704-3738
(310) 664-4444
(309) 664-5006
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036116185
IL
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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