# ADAM M HOLLERAN MD A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659990380
- **Authorized official:** ADAM M HOLLERAN MD (CEO)
- **Authorized official phone:** (607) 725-0484

## Contact information

- **Practice address:** 2930 BARNARD ST UNIT 7301, SAN DIEGO, CA 92110-5729
- **Practice address phone:** (607) 725-0484
- **Mailing address:** 2930 BARNARD ST UNIT 7301, SAN DIEGO, CA 92110-5729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2020
- **Last updated:** 04/13/2020