Individual
DR. MARK S HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11607 N EVANS MILL RD, PRINCEVILLE, IL 61559-9179
(309) 243-5086
Mailing address
11607 N EVANS MILL RD, PRINCEVILLE, IL 61559-9179
(309) 243-5086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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