Individual
JEFF E HOLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 W FRANCIS ST, NORTH PLATTE, NE 69101-0608
(308) 534-8800
(608) 534-5469
Mailing address
621 W FRANCIS ST, NORTH PLATTE, NE 69101-0608
(308) 534-8800
(608) 534-5469
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2007021130
MO
207L00000X
Anesthesiology Physician
Primary
24135
NE
207L00000X
Anesthesiology Physician
E-6316
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100255862-00
—
NE
05
—
204465702
—
MO
Enumeration date
08/28/2006
Last updated
02/23/2017
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