Individual
DR. JEFFREY A HOLLOWAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 W 42ND ST, SUITE 3100, SCOTTSBLUFF, NE 69361-0615
(308) 632-2872
(308) 632-4191
Mailing address
2 W 42ND ST, SUITE 3100, SCOTTSBLUFF, NE 69361-0615
(308) 632-2872
(308) 632-4191
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20855
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47070174412
—
NE
Enumeration date
09/09/2005
Last updated
07/08/2007
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