Individual
DEAN GREGORY HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2330 BUHNE ST, EUREKA, CA 95501-3237
(707) 442-3704
(707) 442-8986
Mailing address
PO BOX 6428, EUREKA, CA 95502-6428
(707) 445-5431
(707) 445-3710
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G30379
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G303790
—
CA
01
—
300047938
RR MEDICARE
—
Enumeration date
05/10/2006
Last updated
01/11/2008
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