Individual
MICHAEL G HOLLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 W MAPLE, SUITE 403, SPRINGDALE, AR 72764-5374
(479) 750-2742
(479) 750-2742
Mailing address
601 WEST MAPLE, SUITE 403, SPRINGDALE, AR 72764-5374
(479) 750-2742
(479) 750-2742
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
R2597
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103605001
—
AR
Enumeration date
05/11/2006
Last updated
07/08/2010
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