Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0101232842 | VA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD034415 | DC |
NPI | 1073593208 |
---|---|
Provider Name | Dr. Andrew S Holmes |
First Address | Arlington, VA 22205-3633 |
Second Address | Arlington, VA 22205-3633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 26/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010025125 | (05) | DC |
035367300 | (05) | DC |
403399000 | (05) | DC |
H700006 | (02) | DC |