person
Benjamin M Holman, PA
Surgical Physician Assistant in Peoria, Illinois
NPI 1770507246

Benjamin M Holman is a Surgical Physician Assistant based in Peoria, IL and is specialized in Surgical. Benjamin M Holman practices in Peoria, IL and has the professional credentials of PA. The NPI Number for Benjamin M Holman is 1770507246 and holds a License No. 085002725 (Illinois).

The current practice location address for Benjamin M Holman is 6000 N Allen Road, Peoria, IL and can be reached out via phone at 309-691-1400.

Location: 6000 N Allen Road, Peoria, IL, 61614-3294
person
Provider Profile Details
NPI Number
1770507246
Provider Name
Benjamin M Holman
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
6000 N Allen Road, Peoria, IL, 61614-3294
Phone Number
309-691-1400
Fax Number
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085002725 05 IL
institution
Provider Business Practice Location Address Details
Address
6000 N Allen Road
City
State
Zip
61614-3294
Phone Number
309-691-1400
Fax Number
person
Provider Business Mailing Address Details
Address
6000 N Allen Road
City
State
Zip
61614-3294
Phone Number
309-691-1400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
085002725 (Illinois)
Definition
Definition to come...
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