Organization
HOLON HEALTH GREAT LAKES, P.C.
Active
Other names
Holon Health
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HERZOG (CEO)
(804) 955-5246
Entity
Organization
Contact information
Practice address
5650 S 12TH AVE STE 132, TUCSON, AZ 85706-3187
(877) 465-6650
Mailing address
3540 PUMP RD # 1188, RICHMOND, VA 23233-1115
(804) 955-5246
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
03/30/2026
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