Search › Idaho › 183500000X
Charles Holmes
NPI 1407253818 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1323 S Maple Grove Rd
Boise, ID 83709 - Phone
- (208) 319-0967
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho