Individual
DR. SANDRA K HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2200 NE NEFF RD STE 302, BEND, OR 97701-4279
(541) 706-4220
(541) 597-5819
Mailing address
1247 NE MEDICAL CENTER DR, BEND, OR 97701-3786
(541) 322-5753
(541) 278-8377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD26430
OR
207RG0100X
Gastroenterology Physician
0101043770
VA
207RG0100X
Gastroenterology Physician
Primary
MD26430
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00422280
MEDICARE RAILROAD
OR
05
—
271028
—
OR
Enumeration date
08/18/2005
Last updated
08/01/2024
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