Heather Leigh Holt, PHYSICIAN ASSISTANT

NPI #1184958787 in Robinson, Illinois

Provider Information

NPI Number: 1184958787
Entity Type: Individual
Name: Heather Leigh Holt, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Sep 29, 2009
Last Updated: Jun 16, 2015

Practice Location

Address: 807 W CRAFT ST
City: Robinson
State: Illinois
ZIP Code: 62454-1137
Phone: (618) 546-5052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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