Organization
WOMEN FIRST WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY J HOLLAND D.O. (PHYSICIAN)
(937) 615-9601
Entity
Organization
Contact information
Practice address
101 LOONEY RD, PIQUA, OH 45356
(937) 615-9601
(937) 615-9602
Mailing address
101 LOONEY RD, PIQUA, OH 45356
(937) 615-9601
(937) 615-9602
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34-00-6177-H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163835
—
OH
Enumeration date
04/13/2007
Last updated
12/27/2011
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