Individual
DEBRA ANN STUMPF HOLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3530 HOUMA BLVD STE 300, METAIRIE, LA 70006
(504) 264-5142
(504) 455-2648
Mailing address
1395 NW 167TH ST, MIAMI, FL 33169-5710
(504) 264-5142
(504) 455-2648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34-00-7136-H
OH
207Q00000X
Family Medicine Physician
Primary
DO.000130
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2195851
—
OH
Enumeration date
06/21/2005
Last updated
11/22/2019
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