Individual
GRANT K HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4403 HARRISON BLVD, SUITE 3400, OGDEN, UT 84403-3271
(801) 387-3400
(801) 387-3420
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-3400
(801) 387-3420
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
165831-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107006006103
SELECTHEALTH
UT
05
—
204985513001
—
UT
01
—
20498551384403A002
TRIWEST
UT
01
—
204985513GKH
EMIA
UT
01
—
21114
DMBA
UT
01
—
25-00066
UNITED HEALTH CARE
UT
01
—
611697900
USDOL
UT
01
—
90219
PEHP
UT
01
—
DUUX3
BC OF IDAHO
ID
05
—
P00339377
—
ID
05
—
PRA01702
—
UT
01
—
QM0000006789
ALTIUS
UT
Enumeration date
09/14/2005
Last updated
03/04/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us