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Individual

MR. DANIEL GENE HOLTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNAP, CRNA

Contact information

Practice address
3490 W LONOKE DR, FAYETTEVILLE, AR 72704-7095
(479) 287-7496
Mailing address
3490 W LONOKE DR, FAYETTEVILLE, AR 72704-7095
(479) 287-7496

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R100276
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
220654
AR

Other

Enumeration date
08/16/2021
Last updated
06/23/2022
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