Provider Demographics
NPI:1881790459
Name:HOLTROP, ERIC JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JOHN
Last Name:HOLTROP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:QUALITY MANAGEMENT
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:280 SIERRA COLLEGE DR
Practice Address - Street 2:SUITE 120
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-5763
Practice Address - Country:US
Practice Address - Phone:530-477-4480
Practice Address - Fax:530-274-7532
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2016-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA72244207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine