Individual
JAMES CEDRICK HOLDEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
1010 4TH ST SW, SUITE 105, MASON CITY, IA 50401-2857
(641) 428-7847
(614) 428-7999
Mailing address
600 1ST ST NW, SUITE 101, MASON CITY, IA 50401-2932
(641) 428-7847
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
108393
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/30/2019
Last updated
07/29/2021
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