Individual
JEFFREY RICHARD HOLZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 E 15TH ST, DOUGLAS, AZ 85607-1631
(520) 364-5437
(520) 364-4261
Mailing address
1205 F AVE, DOUGLAS, AZ 85607-1920
(520) 364-6852
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
54607
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2014
Last updated
07/21/2022
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