Individual
DR. ERIC DAVID HOLWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7973 W DESTINY BLVD, FORT CAMPBELL, KY 42223-5429
(270) 798-4677
Mailing address
7973 W DESTINY BLVD, FORT CAMPBELL, KY 42223-5429
(270) 798-4667
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2020009897
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020009897
—
MO
Enumeration date
05/22/2018
Last updated
08/07/2024
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