Organization
EAST VALLEY OB/GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HOLLAR M.D. (OWNER)
(480) 461-1161
Entity
Organization
Contact information
Practice address
1450 S DOBSON RD, STE. B221, MESA, AZ 85202-4712
(480) 461-1161
(480) 835-1482
Mailing address
1450 S DOBSON RD, STE. B221, MESA, AZ 85202-4712
(480) 461-1161
(480) 835-1482
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28517
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522799
—
AZ
Enumeration date
03/17/2009
Last updated
03/17/2009
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