Individual
DR. RAYMOND LEE HOLSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
467 VISTA AVENUE, PAGE, AZ 86040-1625
(928) 645-8123
(928) 645-3862
Mailing address
PO BOX 1625, PAGE, AZ 86040-1625
(928) 645-8123
(928) 645-3862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21867
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145989
—
AZ
Enumeration date
06/13/2005
Last updated
12/10/2010
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