SearchMissouri363A00000X

Mark Holder, PA-C

NPI 1659988533 · on the registry since 2020

Practice

Address
13861 Manchester Rd
Manchester, MO 63011
Phone
(636) 220-9333
Clinicians at this address
2

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-25

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 Missouri