Robert B Holder LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

21557 Issued in AZ

Legal business name

ROBERT B HOLDER LLC

Practice address

174 S Coronado Dr
Suite a
Sierra Vista, AZ 85635-8584

Phone

(520) 417-9920

Fax

(520) 417-9919

NPI assigned

Dec 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathy Holder

Title

Office MGR

Phone

(520) 417-9920

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1518141555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 S CORONADO DR",
            "address_2": "SUITE A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-417-9920",
            "fax_number": "520-417-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 S CORONADO DR",
            "address_2": "SUITE A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856358584",
            "telephone_number": "520-417-9920",
            "fax_number": "520-417-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B HOLDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "520-417-9920"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "21557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136376",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosalyn Anne Richards, PT
• Darci Pearl Richardson, LM
• Sylvia V. Rimbergas, O.D.
• Kristin Riordan
• Marcell Roberson Jr., LPC,NCC,BHP
• Robert B Holder, LLC
• Roberts Chiropractic,PLLC (Roger W. Roberts, D.C.)
• Don C Robertson, DDS
• Frederick Hanson Robinson, M.DIV, MS, MA
• Erik Robles-Moreno

• Obstetrics & Gynecology Physician in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.