Individual
JON MICHAEL HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3420 S MERCY RD STE 101, GILBERT, AZ 85297-0420
(480) 899-4420
(480) 219-3214
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6995
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129514
—
AZ
01
—
Z302482
MEDICARE
AZ
Enumeration date
02/05/2018
Last updated
11/19/2024
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