Individual
DR. CARROLL EUGENE HOLSTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 WOODBRIDGE DR, BELLA VISTA, AR 72714-1927
(479) 855-2160
(479) 876-6312
Mailing address
3 WOODBRIDGE DR, BELLA VISTA, AR 72714-1927
(479) 855-2160
(479) 876-6312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8959
OK
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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