Provider Demographics
NPI:1265720411
Name:HOLBROOKE, DAVID REESE (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:REESE
Last Name:HOLBROOKE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:685 SPRING ST
Mailing Address - Street 2:#112
Mailing Address - City:FRIDAY HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98250-8058
Mailing Address - Country:US
Mailing Address - Phone:415-331-3883
Mailing Address - Fax:415-331-8778
Practice Address - Street 1:120 BULKLEY AVE
Practice Address - Street 2:#405
Practice Address - City:SAUSALITO
Practice Address - State:CA
Practice Address - Zip Code:94965-3200
Practice Address - Country:US
Practice Address - Phone:415-331-3883
Practice Address - Fax:415-331-8778
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2011-07-20
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Provider Licenses
StateLicense IDTaxonomies
CAG18811208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice