Individual
DR. ROBERT C. HOLLADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 OLIVE ST, STE A, SHREVEPORT, LA 71104-2162
(318) 222-3662
(318) 222-0034
Mailing address
850 OLIVE ST, STE A, SHREVEPORT, LA 71104-2162
(318) 222-3662
(318) 222-0034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.020136
LA
207RC0000X
Cardiovascular Disease Physician
MD.020136
LA
207RP1001X
Pulmonary Disease Physician
Primary
020136
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1987115
—
LA
Enumeration date
06/20/2005
Last updated
02/12/2025
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