Individual
DR. JENNIFER LYNN HOLMGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4700 N 51ST AVE, STE 4, PHOENIX, AZ 85031-1237
(623) 846-7575
(623) 247-6386
Mailing address
4700 N 51ST AVE, STE 4, PHOENIX, AZ 85031-1237
(623) 846-7575
(623) 247-6386
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6000
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764311
—
AZ
Enumeration date
12/14/2009
Last updated
02/19/2013
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