Individual
DR. NATHAN BRENT HOLLADAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9651064-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100001392794
REGENCE BCBS (UT)
UT
01
—
175867
PEHP
UT
Enumeration date
06/13/2007
Last updated
08/23/2016
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