Individual
DR. RYAN HOLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1 SAGEBRUSH ST SW, ALBUQUERQUE, NM 87105-3942
(505) 869-4080
Mailing address
1 SAGEBRUSH ST SW, ALBUQUERQUE, NM 87105-3942
(505) 869-3200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
12844144-9934
UT
152W00000X
Optometrist
Primary
OPT-2023-0001
NM
152W00000X
Optometrist
OPT.0003825
CO
Other
Enumeration date
07/14/2022
Last updated
02/27/2024
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