Individual
HEIDI SUSAN HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
10401 W THUNDERBIRD BLVD, SUN CITY, AZ 85351-3004
(623) 977-7211
Mailing address
2100 POWELL ST, STE 920, EMERYVILLE, CA 94608-1826
(510) 350-2777
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4250
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
943325
—
AZ
Enumeration date
05/11/2006
Last updated
07/08/2007
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