Individual
DAVID C HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2321 N WISCONSIN AVENUE, PEORIA, IL 61603
(309) 680-7600
(309) 681-8620
Mailing address
2321 N WISCONSIN AVE, PEORIA, IL 61603-5613
(309) 680-7600
(309) 681-8620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036049167
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010788
HEALTH ALLIANCE
IL
05
—
0360491673
—
IL
01
—
080195132
RAILROAD MEDICARE
IL
01
—
253462
HEALTHLINK
IL
01
—
7215059
BCBS PPO
IL
01
—
IL01K5
JOHN DEERE
IL
Enumeration date
07/31/2006
Last updated
07/16/2015
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