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Individual

MR. RICHARD L HOLMES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1810 MESQUITE AVE STE B, LAKE HAVASU CITY, AZ 86403-5886
(928) 453-4600
Mailing address
11010 N DESERT VIEW LN, FLAGSTAFF, AZ 86004-1787
(928) 600-7630
(928) 600-7630

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
7129
AZ
363A00000X
Physician Assistant
Primary
7129
AZ

Other

Enumeration date
07/14/2006
Last updated
10/14/2024
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