MARK STEPHEN HOLDER

MANCHESTER, MO
NPI1659988533
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2020032233)
Enumeration Date2020-09-25
Last Update Date2020-09-25
Business Address
MARK STEPHEN HOLDER PA-C
13861 MANCHESTER RD
MANCHESTER, MO 63011-4503
Phone number: 636-220-9333
Mailing Address
MARK STEPHEN HOLDER PA-C
13861 MANCHESTER RD
MANCHESTER, MO 63011-4503
Phone number: 636-220-9333