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Individual

DR. MARK A HOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 STATE ROUTE 664 N, LOGAN, OH 43138-8541
(740) 380-8140
(740) 380-8150
Mailing address
PO BOX 228, LOGAN, OH 43138-0228
(740) 380-4181
(740) 385-0865

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35057635
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0929777
OH
Enumeration date
09/23/2005
Last updated
08/21/2025
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