John B Holds
Plastic and Reconstructive Surgery
12990 Manchester Rd Ste 102
Saint Louis
, Missouri 63131-1804
John B Holds
Plastic and Reconstructive Surgery
12990 Manchester Rd Ste 102
Saint Louis
, Missouri 63131-1804
(314) 567-6575
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- John B Holds
- 12990 Manchester Rd Ste 102
- Saint Louis, MO
- Zip : 63131-1804
- Fax : (314) 567-6575
- Phone : (314) 567-3567
Second Address
- John B Holds
- 12990 Manchester Rd Ste 102
- Saint Louis, MO
- Zip : 63131-1804
- Fax : (314) 567-6575
- Phone : (314) 567-3567
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | R3N98 | MO |
National Provider Identifier
| NPI | 1134117732 |
|---|---|
| Provider Name | John B Holds |
| First Address | Saint Louis, MO 63131-1804 |
| Second Address | Saint Louis, MO 63131-1804 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2005 |
| Last Update Date | 25/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 06025871 | BLUE CROSS BLUE SHIELD OF (01) | IL |
| 074803 | HEALTH ALLIANCE (01) | |
| 0800205 | UNITED HEALTHCARE (01) | |
| 128620 | HEALTHLINK (01) | |
| 19098 | BLUE CROSS BLUE SHIELD OF (01) | |
| 42272 | HEALTHCARE USA (01) | |
| 56190 | OPTICARE (01) | |
| D07409 | (02) | |
| D07409 | MERCY HEALTH PLAN (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.