Individual
JOSHUA JAN HOLMES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
851 E 5TH ST, RIFLE, CO 81650-2941
(970) 625-0842
(970) 625-3706
Mailing address
851 E 5TH ST, RIFLE, CO 81650-2941
(970) 625-0842
(970) 625-3706
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23677
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01236777
—
CO
Enumeration date
06/02/2006
Last updated
07/08/2007
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