Individual
JONATHAN HOLSTAD
Active
Individual
JONATHAN HOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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