Individual
MR. MARK DAVID HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1970 SPRINGMONT AVE, SPRINGFIELD, OH 45506-2966
(937) 831-0504
Mailing address
1120 N FOUNTAIN AVE, SPRINGFIELD, OH 45504-2230
(937) 232-1613
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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