Individual
BARBARA L HOLDERBAUM-DOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1208 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 359-2640
Mailing address
1208 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 359-2640
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15754
CA
Other
Enumeration date
07/04/2006
Last updated
08/06/2014
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