| Dr Nathaniel Charles Hollister, MD | |
| 
					5330 S Highway 95, Fort Mohave, AZ 86426-9225  | |
| (928) 788-2273 | |
| Not Available | 
| Full Name | Dr Nathaniel Charles Hollister | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 5330 S Highway 95, Fort Mohave, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104406586 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 73509 (Arizona) | Primary | 
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary | 
| Entity Name | Emergency Physicians Southwest Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1912053752 PECOS PAC ID: 2264538529 Enrollment ID: O20070502000382  | 
| Entity Name | Nes Arizona Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205217700 PECOS PAC ID: 2163737206 Enrollment ID: O20150818005113  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Nathaniel Charles Hollister, MD 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 Ph: (702) 383-7885  | Dr Nathaniel Charles Hollister, MD 5330 S Highway 95, Fort Mohave, AZ 86426-9225 Ph: (928) 788-2273  | 
Dr. Mark E Laursen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-7064  | |
Dr. Kenneth Dudley Locke, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-7069  | |
Dr. Scott Andrew Havens, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1510 E Wagon Wheel Ln Ste 110, Fort Mohave, AZ 86426 Phone: 928-788-3333 Fax: 928-788-3555  |