Most Relevant Information
Provider Data
| NPI Number: | 1003810540 |
| Provider Name: | RAYMOND LEE HOLSTEN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 21867 |
Most Important Dates
| Enumeration Date: | 06/13/2005 |
| Last Updated: | 12/10/2010 |
Provider Practice Location
467 VISTA AVENUE
PAGE
AZ
860401625
Practice Location Phone/Fax
| Phone: | 9286458123 |
| Fax: | 9286453862 |
Provider Mailing Location
PO BOX 1625
PAGE
AZ
860401625
Provider Mailing Phone/Fax
| Phone: | 9286458123 |
| Fax: | 9286453862 |
Suggested EMR
Family Practice EMR