| Robert M Holley Md, Inc | |
|
2500 Jefferson Ave Pt Pleasant WV 25550-1530 | |
| (304) 675-1675 | |
| (304) 675-3713 |
| Full Name | Robert M Holley Md, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2500 Jefferson Ave, Pt Pleasant, West Virginia |
| Authorized Official Name and Position | Robert M Holley (PHYSICIAN) |
| Authorized Official Contact | 3046751675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert M Holley Md, Inc 2500 Jefferson Ave Pt Pleasant WV 25550-1530 Ph: (304) 675-1675 | Robert M Holley Md, Inc 2500 Jefferson Ave Pt Pleasant WV 25550-1530 Ph: (304) 675-1675 |
| NPI Number | 1356544365 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 08/05/2010 |
| Medicare PECOS PAC ID | 1850281429 |
|---|---|
| Medicare Enrollment ID | O20040317001036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356544365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11422 (West Virginia) | Primary |
| Provider Name | Robert M Holley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295834810 PECOS PAC ID: 1052201639 Enrollment ID: I20040317001098 |
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