Individual
TORBJORG HOLTESTAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31161
NE
208600000X
Surgery Physician
9471653
ID
Other
Enumeration date
03/07/2017
Last updated
05/09/2025
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