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Individual

RICHARD FRANK HOLT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
107 E OAK AVE, FLAGSTAFF, AZ 86001-1818
(928) 779-7880
(928) 779-7895
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
006708
AZ
208100000X
Physical Medicine & Rehabilitation Physician
2012017428
MO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
DO-04907
IA

Other

Enumeration date
06/03/2011
Last updated
01/14/2021
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