NPI 1386434041
Holon Health Great Lakes, P.C.
Practice location
- Address
- 3341 N 19th Ave, Phoenix, AZ 85015-5702
- Phone
- (877) 465-6650
- Fax
- (804) 294-2775
- Mailing address
- 3540 Pump Rd # 1188, Richmond, VA 23233-1115
Authorised official
- Name
- Jason Herzog
- Title
- Ceo
- Phone
- (804) 955-5246
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1386434041
- Entity type
- Organization
- NPI issued
- 7 May 2025
- Record last updated
- 7 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.