Individual provider · Type 1 NPI

Justin Holdaway

Specialist · West Jordan, UT

NPI number 1063877751 Active

Practice location

1990 W 7800 S
West Jordan, UT 84088-4025

Mailing address

4444 S 700 E Ste 203
Murray, UT 84107-3075

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1063877751

Justin Holdaway's National Provider Identifier is 1063877751, issued on Dec 22, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in West Jordan, UT. The record was last updated on Dec 22, 2015.