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Individual

JAMES SHAWN HOLDERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
490 MURPHY RD, MEDFORD, OR 97504-8144
(541) 779-5227
(541) 779-1938
Mailing address
490 MURPHY RD, MEDFORD, OR 97504-8144
(541) 779-5227
(541) 779-1938

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00351
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
299111
OR
Enumeration date
07/17/2006
Last updated
07/22/2008
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