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Individual

DR. RONALD EDWARD HOLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
510 E STONER AVE, DEPY OF SURGERY #112, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
510 EAST STONER AVENUE, DEPY OF SURGERY #112, SHREVEPORT, LA 71101
(318) 221-8411

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
030618
GA
207W00000X
Ophthalmology Physician
12691
NC
207W00000X
Ophthalmology Physician
Primary
13302R
LA
207W00000X
Ophthalmology Physician
14945
AL

Other

Enumeration date
08/07/2006
Last updated
07/08/2007
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