| Robert E Holland Jr, MD | |
|
520 S Eagle Rd, Ste 1241, Meridian, ID 83642-6351 | |
| (208) 288-2255 | |
| Not Available |
| Full Name | Robert E Holland Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 520 S Eagle Rd, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356348015 | NPI | - | NPPES |
| 062182 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD15650 (Oregon) | Secondary |
| 207Q00000X | Family Medicine | M-5119 (Idaho) | Primary |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Holland Jr, MD 190 E Bannock St, Boise, ID 83712 Ph: (208) 381-2222 | Robert E Holland Jr, MD 520 S Eagle Rd, Ste 1241, Meridian, ID 83642-6351 Ph: (208) 288-2255 |
Christina Marie Freston, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1552 N Crestmont Dr Ste B, Meridian, ID 83642 Phone: 208-985-2260 | |
Marisa A Battaglia, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1623 Wells Ave, Meridian, ID 83642 Phone: 208-489-1450 | |
Mrs. Elaine M. Davidson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2840 S Meridian Rd, Meridian, ID 83642 Phone: 208-593-6393 Fax: 208-593-6402 | |
Catherine J Reynolds, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala, Suite 150, Meridian, ID 83642 Phone: 208-345-3530 Fax: 208-381-5080 | |
Raymond Paul Hooft, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3041 E Copper Point Dr, Meridian, ID 83642 Phone: 208-514-4400 Fax: 208-514-4404 | |
Dr. Jason Scott Ludwig, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4740 N Penngrove Way Ste 100, Meridian, ID 83646 Phone: 208-938-3663 Fax: 208-938-3664 | |
Dr. Brenda J Adams, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3090 E Gentry Way, Suite 200, Meridian, ID 83642 Phone: 208-887-6813 Fax: 208-887-6884 |