IndividualActive
Amanda Holman, DO
NPI 1669978623 · Pediatrics Physician · Stansbury Park, UT
Provider details
- NPI number
- 1669978623
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- DO.2126 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
220 Millpond Ste 100
Stansbury Park, UT 84074-9760
Phone: (435) 843-3000
Approximate (ZIP-level) locationGet directions
Mailing address
220 Millpond Ste 100
Stansbury Pk, UT 84074-9760
Registry dates
- Enumerated
- 2018-03-30
- Last updated
- 2025-06-04
- Certified
- 2025-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.