| Holland Center For Family Medicine Ltd | |
|
6760 W. Thunderbird Rd. Suite E-100 Peoria AZ 85381 | |
| (602) 978-8477 | |
| (602) 978-0734 |
| Full Name | Holland Center For Family Medicine Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 6760 W. Thunderbird Rd., Peoria, Arizona |
| Authorized Official Name and Position | Joshua Holland (OWNER) |
| Authorized Official Contact | 6029788477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holland Center For Family Medicine Ltd 6760 W. Thunderbird Rd. Suite E-100 Peoria AZ 85381 Ph: (602) 978-8477 | Holland Center For Family Medicine Ltd 6760 W. Thunderbird Rd. Suite E-100 Peoria AZ 85381 Ph: (602) 978-8477 |
| NPI Number | 1174795785 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 03/06/2014 |
| Medicare PECOS PAC ID | 4981781507 |
|---|---|
| Medicare Enrollment ID | O20080408000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174795785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17551 (Arizona) | Primary |
| Provider Name | Joshua D Holland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922071232 PECOS PAC ID: 6507861564 Enrollment ID: I20080401000828 |
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