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David Glenn Holst, MD
Obstetrics Physician in Mount Shasta, California
NPI 1164416764

David Glenn Holst is a Obstetrics Physician based in Mount Shasta, CA and is specialized in Obstetrics. David Glenn Holst practices in Mount Shasta, CA and has the professional credentials of MD. The NPI Number for David Glenn Holst is 1164416764 and holds a License No. G76027 (California).

The current practice location address for David Glenn Holst is 824 Pine St, Mount Shasta, CA and can be reached out via phone at 530-926-4528 and via fax at 530-926-5070.

Location: 824 Pine St, Mount Shasta, CA, 96067-0339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164416764
Provider Name
David Glenn Holst
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
824 Pine St, Mount Shasta, CA, 96067-0339
Phone Number
530-926-4528
Fax Number
530-926-5070
Provider Enumeration Date
09/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080080840 01 RAILROAD MEDICARE
00G760270 05 CA
institution
Provider Business Practice Location Address Details
Address
824 Pine St
City
Mount Shasta
State
California
Zip
96067-2137
Phone Number
530-926-4528
Fax Number
530-926-5070
person
Provider Business Mailing Address Details
Address
824 Pine St
City
Mount Shasta
State
California
Zip
96067-2137
Phone Number
530-926-4528
Fax Number
530-926-5070
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
G76027 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
G76027 (California)
Definition
Definition to come...
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