Healthcare Provider Details

I. General information

NPI: 1790104107
Provider Name (Legal Business Name): JOSEPH NED HOLMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2014
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2751 DEBARR RD STE 360
ANCHORAGE AK
99508-6809
US

IV. Provider business mailing address

PO BOX 75588
CHICAGO IL
60675-5588
US

V. Phone/Fax

Practice location:
  • Phone: 907-792-7920
  • Fax: 907-792-7921
Mailing address:
  • Phone: 907-792-7920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberD0081363
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number208026
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberS3909
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number208026
License Number StateAK
# 5
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberD0081363
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: