Paige C. Holt

NPI #1699107797 in Bloomington, Illinois

Provider Information

NPI Number
1699107797
Entity Type
Organization
Organization Name
Paige C. Holt
Primary Specialty
Plastic Surgery
Enumeration Date
Jul 31, 2013
Last Updated
Jul 31, 2013

Practice Location

Address
2502 E EMPIRE ST
Address 2
STE C
ZIP Code
61704-3738
Phone
(310) 664-4444

Authorized Official

Name
PAIGE C. HOLT, MD
Title
PHYSICIAN
Phone
(309) 664-4444

Specialties & Taxonomy Codes

Specialty
Plastic Surgery

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