Individual provider · Type 1 NPI

Richard James Holley

Military Health Care Provider · Silver Spring, MD

NPI number 1790720407 Active

Practice location

1500 Forest Glen Rd, Physical Medicine And Rehab Dpt
Silver Spring, MD 20910-1483

Fax (301) 754-7342

Mailing address

4104 Lomar Ter, Greens At Manorwood
Mount Airy, MD 21771-3909

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X03635 (MD)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1790720407

Richard James Holley's National Provider Identifier is 1790720407, issued on Jun 17, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Silver Spring, MD. The record was last updated on Nov 26, 2008.