Paige C Holt, Md, Ltd

NPI 1295173128 - Plastic Surgery - 208200000X

NPI Details
NPI 1295173128
Enumeration Date 06/13/2013
Last Updated 06/13/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name PAIGE C PAIGE
Position PRESIDENT
Phone (309) 664-4444
Fax
Practice Location
2502 E EMPIRE ST
SUITE C
BLOOMINGTON IL, 61704-3738, US
Phone (309) 664-4444
Fax
Business Location
2502 E EMPIRE ST
SUITE C
BLOOMINGTON IL, 61704-3738, US
Phone (309) 664-4444
Fax
Toxanomy
Taxonomy Code 208200000X
License State Illinois
License Number 036116185
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According to our database, Paige C Holt, Md, Ltd NPI is 1295173128, taxonomy code is 208200000X and license number is 036116185, license state is located at Illinois. Paige C Holt, Md, Ltd physically located at 2502 E Empire St, Bloomington IL, 61704-3738. NPI Number 1033115704 has the healthcare provider type.

1295173128 NPI number is provided on an as is basis without warranty of any kind. 1295173128 is maintained by the National Plan & Provider Enumeration System. The contents of Paige C Holt, Md, Ltd are for informational purposes only.