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Individual

FRED D HOLMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 W CLARENDON AVE, SUITE 142, PHOENIX, AZ 85013-3449
(602) 234-1803
(602) 234-3748
Mailing address
PO BOX 36680, PHOENIX, AZ 85067-6680
(602) 234-1803
(602) 234-3748

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
28917
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
558314
AZ
Enumeration date
05/18/2006
Last updated
03/04/2016
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