Individual
DR. JOHN ALAN HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
708 HIGHWAY 142, LYLE, WA 98635-9111
(509) 365-2580
Mailing address
PO BOX 2603, 212 N 3RD STREET, MCCALL, ID 83638
(208) 315-4390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-11371
ID
Other
Enumeration date
07/07/2005
Last updated
12/03/2012
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