Individual
DR. MICHAEL HOLLIFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4710 JEFFERSON ST NE, JENNY CEBADA, ALBUQUERQUE, NM 87109-2155
(505) 884-1114
(505) 884-3004
Mailing address
4710 JEFFERSON ST NE, JENNY CEBADA, ALBUQUERQUE, NM 87109-2155
(505) 884-1114
(505) 884-3004
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
39065
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64091713
—
KY
Enumeration date
02/02/2006
Last updated
02/10/2010
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