Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35-048418 | OH |
NPI | 1033229513 |
---|---|
Provider Name | Scott F Holder |
First Address | Dover, OH 44622-2058 |
Second Address | Dover, OH 44622-2058 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 22/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0557142 | (05) | OH |
A16487 | (02) |