Individual
ERIC S VONHOLTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3202 MCINTOSH CIR STE 201, JOPLIN, MO 64804-3686
(417) 347-8560
(417) 347-8564
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-8560
(417) 347-8564
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
045655
GA
207R00000X
Internal Medicine Physician
Primary
2010001787
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000789874H
—
GA
Enumeration date
07/24/2006
Last updated
02/16/2011
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