Individual
ERIC J HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 PLEASANT ST, STE 200, DES MOINES, IA 50309-1423
(515) 241-8221
(515) 241-4001
Mailing address
1221 PLEASANT ST, STE 200, DES MOINES, IA 50309-1423
(515) 241-8221
(515) 241-4001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36032
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0486159
—
IA
05
—
1486159
—
IA
05
—
1972531408
—
IA
01
—
P00335576
RR MEDICARE
IA
Enumeration date
06/30/2006
Last updated
08/17/2012
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