Organization
KITSAP EYE PHYSICIANS PS
Active
Other names
Dale N Holdren MD Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DALE N HOLDREN MD (OWNER PRESIDENT)
(360) 377-3703
Entity
Organization
Contact information
Practice address
2655 WHEATON WAY, BREMERTON, WA 98310-3318
(360) 377-3703
(360) 377-9469
Mailing address
2655 WHEATON WAY, BREMERTON, WA 98310-3318
(360) 377-3703
(360) 377-9469
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD00003606
WA
207W00000X
Ophthalmology Physician
Primary
MD00031837
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7071863
—
WA
Enumeration date
05/22/2007
Last updated
03/31/2015
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