Individual
CHARLES M HOLLCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6501 LOISDALE CT, KAISER PERMANENTE SPRINGFIELD MEDICAL CENTER, SPRINGFIELD, VA 22150-1826
(703) 922-1000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101236059
VA
Other
Enumeration date
06/26/2006
Last updated
01/18/2022
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