Individual
DR. THOMAS STEPHENSON HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 743-2511
(208) 799-5554
Mailing address
PO BOX 816, LEWISTON, ID 83501-0816
(208) 743-2511
(208) 799-5554
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M-9514
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10154124
REGENCE OF IDAHO
ID
05
—
7046543
—
WA
05
—
8455685
—
WA
01
—
HPAC4
BLUE CROSS OF IDAHO
ID
Enumeration date
11/22/2006
Last updated
07/09/2007
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