Individual
JONATHAN HOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-43588
KS
2085R0202X
Diagnostic Radiology Physician
29998
NE
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0058461
CO
2085R0202X
Diagnostic Radiology Physician
MD21652
HI
Other
Enumeration date
05/24/2011
Last updated
12/12/2022
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