Robert B Holder, MD | |
174 S Coronado Dr, Suite A, Sierra Vista, AZ 85635-2860 | |
(520) 417-9920 | |
(520) 417-9919 |
Full Name | Robert B Holder |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 174 S Coronado Dr, Sierra Vista, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861426439 | NPI | - | NPPES |
136376 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 21557 (Arizona) | Primary |
Entity Name | Multicare Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Robert B Holder, MD 174 S Coronado Dr, Suite A, Sierra Vista, AZ 85635-1830 Ph: (520) 417-9920 | Robert B Holder, MD 174 S Coronado Dr, Suite A, Sierra Vista, AZ 85635-2860 Ph: (520) 417-9920 |
Cynthia G. Funckes, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5750 E. Highway 90, Ste. 300 A & B, Sierra Vista, AZ 85635 Phone: 520-458-8075 Fax: 520-458-0339 | |
Dr. Nathaniel D. Evans, D.O Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5750 E. Highway 90, Suite 300a, Sierra Vista, AZ 85635 Phone: 520-458-8075 Fax: 520-458-0339 | |
Kenneth Kacenga, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 155 Colle Portal, 300, Sierra Vista, AZ 85635 Phone: 520-458-8075 Fax: 520-458-0339 | |
Bruce E Silva, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 174 S Coronado Dr Ste A, Sierra Vista, AZ 85635 Phone: 520-545-0676 Fax: 520-547-2993 |