Individual
FRANK HOLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD2
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232405
HMSA - 65CP
HI
05
—
232405
—
HI
05
—
55828103
—
HI
01
—
99017685996793B098
TRICARE - CHAMPUS
HI
Enumeration date
07/21/2006
Last updated
04/07/2008
Update your record
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