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Search › West Virginia › 101YA0400X

Russell Holland, CAC

NPI 1972746402 · on the registry since 2009

Practice

Address
99 Tavern Rd
Martinsburg, WV 25401
Phone
(304) 263-7023
Fax
(304) 264-0508
Organisation at this address
Shenandoah Pharmacy, Llc
Quest Diagnostics Incorporated Md
Shenandoah Valley Medical System, Inc.
Shenandoah Valley Medical System, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
77

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-10-25

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 West Virginia