Organization
ROBERT B HOLDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY HOLDER (OFFICE MGR)
(520) 417-9920
Entity
Organization
Contact information
Practice address
174 S CORONADO DR, SUITE A, SIERRA VISTA, AZ 85635-8584
(520) 417-9920
(520) 417-9919
Mailing address
174 S CORONADO DR, SUITE A, SIERRA VISTA, AZ 85635
(520) 417-9920
(520) 417-9919
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21557
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136376
—
AZ
Enumeration date
12/27/2007
Last updated
03/25/2008
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