Individual
GERALD K HOLLENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3122 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4415
(970) 945-2020
(970) 945-5630
Mailing address
3122 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4415
(970) 945-2020
(970) 945-5630
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
925
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72806575
—
CO
Enumeration date
08/31/2005
Last updated
07/08/2007
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