NPI Search for Physicians and Health Care Providers
DR. CARROLL EUGENE HOLSTED MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1215195649
Individual Registrant:
DR. CARROLL EUGENE HOLSTED MD
Gender: M
Sole Proprietor
Location and contact information for practice:
3 WOODBRIDGE DR BELLA VISTA, AR 72714-1927 US
Tel: 479-855-2160 Fax: 479-876-6312
Contact information for business:
3 WOODBRIDGE DR BELLA VISTA, AR 72714-1927 US
Tel: 479-855-2160 Fax: 479-876-6312
Registration Information:
NPI: 1215195649
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine
| OK | 8959 |
Legacy codes, insurance codes and state license numbers:
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