Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brett Holdaway, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700375763

Brett Holdaway, DO is a Student in an Organized Health Care Education/Training Program in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4540 E Baseline Rd Ste 108
Mesa, AZ 85206-4616
Phone: (480) 892-3880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 009073 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700375763
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 5, 2018
Last updated in NPPESJune 17, 2021
Certification dateJune 17, 2021
Mailing address4540 E Baseline Rd Ste 108, Mesa, AZ 85206-4616

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