Scott Robert Holmes D.O.

NPI 1194003368 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1194003368
Gender Male
Enumeration Date 07/21/2011
Last Updated 07/21/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
1402 S GRAND BLVD
FDT 14TH FLOOR
SAINT LOUIS MO, 63104-1004, US
Phone (314) 577-8000
Fax
Business Location
424 SUMMIT PLACE CT
FENTON MO, 63026-3573, US
Phone (785) 231-4460
Fax
Toxanomy
Taxonomy Code 390200000X
License State Missouri
License Number 2011017855
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According to our database, Dr. Scott Robert Holmes D.O. NPI is 1194003368, taxonomy code is 390200000X and license number is 2011017855, license state is located at Missouri. Scott Robert Holmes D.O. physically located at 1402 S Grand Blvd, Saint Louis MO, 63104-1004. NPI Number Scott Robert Holmes D.O. has the Individual type.

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1194003368 NPI number is provided on an as is basis without warranty of any kind. 1194003368 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Robert Holmes D.O. are for informational purposes only.