Dr. Raymond Lee Holsten
Family Doctor
467 Vista Avenue
Page
, Arizona 86040-1625
Dr. Raymond Lee Holsten
Family Doctor
467 Vista Avenue
Page
, Arizona 86040-1625
(928) 645-3862
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Raymond Lee Holsten
- Po Box 1625
- Page, AZ
- Zip : 86040-1625
- Fax : (928) 645-3862
- Phone : (928) 645-8123
Second Address
- Dr. Raymond Lee Holsten
- 467 Vista Avenue
- Page, AZ
- Zip : 86040-1625
- Fax : (928) 645-3862
- Phone : (928) 645-8123
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 21867 | AZ |
National Provider Identifier
| NPI | 1003810540 |
|---|---|
| Provider Name | Dr. Raymond Lee Holsten |
| First Address | Page, AZ 86040-1625 |
| Second Address | Page, AZ 86040-1625 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2005 |
| Last Update Date | 10/12/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 145989 | (05) | AZ |
| F65558 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.