Individual
BRETT HOLDAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4540 E BASELINE RD STE 108, MESA, AZ 85206-4616
(480) 892-3880
Mailing address
4540 E BASELINE RD STE 108, MESA, AZ 85206-4616
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
009073
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2018
Last updated
06/17/2021
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