Individual
DR. AUTUMN ELIZABETH HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NMD, PA-C
Contact information
Practice address
M3 WAKE/TUCSON NEUROSCIENCE RESEARCH, 6567 E CARONDELET DRIVE SUITE 455, TUCSON, AZ 85710
(520) 230-1373
Mailing address
M3 WAKE/TUCSON NEUROSCIENCE RESEARCH, 6567 E CARONDELET DRIVE SUITE 455, TUCSON, AZ 85710
(520) 230-1373
(520) 230-1393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3042
AZ
363A00000X
Physician Assistant
PA07863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911009
—
AZ
Enumeration date
05/12/2006
Last updated
07/25/2024
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