Holt, Bradley Wyatt

Holt, Bradley Wyatt is an sole proprietor health care provider with primary practice located at 6320 N La Cholla Blvd Ste 200 , Tucson AZ 85741-3549. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Holt, Bradley Wyatt can be contacted via phone (520) 382-8200.

Contact Information

Primary practice address
6320 N La Cholla Blvd Ste 200 Tucson AZ 85741-3549
Phone: (520) 382-8200
Fax: (520) 297-3505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X R70503 Arizona
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 42850 Arizona

Profile Details

NPI number 1922230507
LBN Legal business name Holt, Bradley Wyatt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2009
Last updated Aug 3rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922230507 NPPES
Arizona MEDICAID 523022

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