Provider Demographics
NPI:1255431334
Name:HOLMES, RONALD DEAN (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:DEAN
Last Name:HOLMES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9224 TEDDY LN
Mailing Address - Street 2:#200
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-6798
Mailing Address - Country:US
Mailing Address - Phone:303-869-2121
Mailing Address - Fax:303-860-1597
Practice Address - Street 1:9224 TEDDY LN
Practice Address - Street 2:#200
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6798
Practice Address - Country:US
Practice Address - Phone:303-869-2121
Practice Address - Fax:303-860-1597
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO381692080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO92987532Medicaid