Organization
JOSEPH B HOLLIS MD PC
Active
Organization
JOSEPH B HOLLIS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH B HOLLIS MD (OWNER)
(757) 397-2493
Entity
Organization
Contact information
Practice address
1211 RODMAN AVE, PORTSMOUTH, VA 23707-3915
(757) 397-2493
(757) 397-7189
Mailing address
1211 RODMAN AVE, PORTSMOUTH, VA 23707-3915
(757) 397-2493
(757) 397-7189
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101028352
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011633
ANTHEM BLUE CROSS BLUE SH
VA
05
—
7905835
—
NC
Enumeration date
05/12/2006
Last updated
11/28/2007
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