William T. Holland Md Pc | |
4616 N 51st Ave Ste 203b Phoenix AZ 85031-1716 | |
(623) 846-5407 | |
(623) 845-0890 |
Full Name | William T. Holland Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 4616 N 51st Ave, Phoenix, Arizona |
Authorized Official Name and Position | William T. Holland (OWNER) |
Authorized Official Contact | 6238465407 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
William T. Holland Md Pc 4616 N 51st Ave Ste 203b Phoenix AZ 85031-1716 Ph: (623) 846-5407 | William T. Holland Md Pc 4616 N 51st Ave Ste 203b Phoenix AZ 85031-1716 Ph: (623) 846-5407 |
NPI Number | 1932269008 |
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Provider Enumeration Date | 12/11/2006 |
Last Update Date | 06/05/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932269008 | NPI | - | NPPES |
DA7053 | Other | AZ | RAILROAD MEDICARE GROUP NUMBER |
335573 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 10652 (Arizona) | Primary |
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