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Individual

MR. SCOTT MICHAEL HOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CO

Contact information

Practice address
723 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4139
(253) 383-4447
Mailing address
723 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4139
(253) 383-4447

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
224P00000X
Prosthetist

Other

Enumeration date
02/16/2012
Last updated
02/16/2012
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