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E Carlisle Holland, DO
General Practice Physician in Sebastopol, California
NPI 1376570077

E Carlisle Holland is a General Practice Physician based in Sebastopol, CA. E Carlisle Holland practices in Sebastopol, CA and has the professional credentials of DO. The NPI Number for E Carlisle Holland is 1376570077 and holds a License No. 20A6298 (California).

The current practice location address for E Carlisle Holland is 496 S Main St, Sebastopol, CA and can be reached out via phone at 707-824-8764 and via fax at 707-824-8766.

Location: 496 S Main St, Sebastopol, CA, 95472-4211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376570077
Provider Name
E Carlisle Holland
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
496 S Main St, Sebastopol, CA, 95472-4211
Phone Number
707-824-8764
Fax Number
707-824-8766
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
496 S Main St
City
Sebastopol
State
California
Zip
95472-4211
Phone Number
707-824-8764
Fax Number
707-824-8766
person
Provider Business Mailing Address Details
Address
496 S Main St
City
Sebastopol
State
California
Zip
95472-4211
Phone Number
707-824-8764
Fax Number
707-824-8766
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
20A6298 (California)
Definition
Definition to come...
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