Individual
DR. NATHAN BRENT HOLLADAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
865 E 4800 S STE 160, MURRAY, UT 84107-5507
(385) 251-6028
(801) 262-1844
Mailing address
865 E 4800 S STE 160, MURRAY, UT 84107-5507
(385) 251-6028
(801) 262-1844
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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