Individual
MARGARET B HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
1720 MESQUITE AVE, SUITE 102, LAKE HAVASU CITY, AZ 86403-5602
(925) 854-3333
(928) 854-3335
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1445
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135758
—
AZ
Enumeration date
03/16/2006
Last updated
01/16/2008
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