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Organization

HOLT MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD F HOLT DO (OWNER)
(435) 650-4106
Entity
Organization

Contact information

Practice address
1851 N GEMINI DR, FLAGSTAFF, AZ 86001-1607
(928) 774-7070
Mailing address
1851 N GEMINI DR, FLAGSTAFF, AZ 86001-1607
(928) 774-7070

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
006708
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006708
MEDICAL LICENSE
AZ
Enumeration date
02/28/2018
Last updated
02/28/2018
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