Jean A Holdren Do Pc | |
16687 St Clair Ave Suite 108 East Liverpool OH 43920 | |
(330) 386-5004 | |
(330) 386-6355 |
Full Name | Jean A Holdren Do Pc |
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Speciality | Internal Medicine |
Location | 16687 St Clair Ave, East Liverpool, Ohio |
Authorized Official Name and Position | Jean A Holdren (PHYSICIAN OWNER OF PRACTICE) |
Authorized Official Contact | 3303865004 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jean A Holdren Do Pc 16687 St Clair Ave Suite 108 East Liverpool OH 43920 Ph: (330) 386-5004 | Jean A Holdren Do Pc 16687 St Clair Ave Suite 108 East Liverpool OH 43920 Ph: (330) 386-5004 |
NPI Number | 1497766554 |
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Provider Enumeration Date | 08/11/2006 |
Last Update Date | 09/21/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497766554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 34006738 (Ohio) | Primary |
207R00000X | Internal Medicine | 0S009111L (Pennsylvania) | Secondary |
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Doctors On Call Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 332 W Sixth St, East Liverpool, OH 43920 Phone: 330-386-6339 Fax: 330-386-1224 | |
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