Most Relevant Information
Provider Data
| NPI Number: | 1003803560 |
| Provider Name: | DAVID JOHN HOLMES CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | C01090 |
Most Important Dates
| Enumeration Date: | 09/30/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
525 WESTERN AVE
STE 201
CONWAY
AR
720344967
Practice Location Phone/Fax
| Phone: | 5013276665 |
| Fax: | 5017300289 |
Provider Mailing Location
525 WESTERN AVE
STE 201
CONWAY
AR
720344967
Provider Mailing Phone/Fax
| Phone: | 5013276665 |
| Fax: | 5017300289 |