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Individual

ADAM HOLLENBACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1515 E RIDGEVIEW DR, COTTONWOOD, AZ 86326-6507
(480) 216-0410
Mailing address
PO BOX 391, COTTONWOOD, AZ 86326-0391
(480) 216-0410

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
AZ-4388
AZ

Other

Enumeration date
08/08/2024
Last updated
08/08/2024
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