Raymond Lee Holsten MD

NPI 1003810540 - Family Medicine - 207Q00000X

NPI Details
NPI 1003810540
Gender Male
Enumeration Date 06/13/2005
Last Updated 12/10/2010
Entity Type Individual
Active Over 12 years ago
Practice Location
PAGE AZ, 86040-1625, US
Phone (928) 645-8123
Fax (928) 645-3862
Business Location
PO BOX 1625
PAGE AZ, 86040-1625, US
Phone (928) 645-8123
Fax (928) 645-3862
Taxonomy Code 207Q00000X
License State Arizona
License Number 21867
Remove 1003810540 NPI Number

According to our database, Dr. Raymond Lee Holsten MD NPI is 1003810540, taxonomy code is 207Q00000X and license number is 21867, license state is located at Arizona. Raymond Lee Holsten MD physically located at 467 Vista Avenue, Page AZ, 86040-1625. NPI Number Raymond Lee Holsten MD has the Individual type.

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1003810540 NPI number is provided on an as is basis without warranty of any kind. 1003810540 is maintained by the National Plan & Provider Enumeration System. The contents of Raymond Lee Holsten MD are for informational purposes only.