Individual
PETER N. HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3150 NORTH 12TH STREET, GRAND JUNCTION, CO 81506-5517
(970) 243-5437
(970) 243-7792
Mailing address
PO BOX 10700, GRAND JUNCTION, CO 81502-5517
(970) 243-5437
(970) 243-7792
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
357
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07003577
—
CO
Enumeration date
12/02/2005
Last updated
12/07/2010
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