Individual
DR. ROBERT E HOLLADAY IV
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7925 YOUREE DR, SUITE 220, SHREVEPORT, LA 71105-5538
(318) 424-3400
(318) 425-5675
Mailing address
7925 YOUREE DR, SUITE 220, SHREVEPORT, LA 71105-5538
(318) 424-3400
(318) 425-5675
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
012283
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1158003
—
LA
Enumeration date
09/26/2005
Last updated
07/09/2007
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