Individual
LARRY HOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11230 N TATUM BLVD, #100, PHOENIX, AZ 85028-1663
(602) 263-0850
(602) 266-5490
Mailing address
11230 N TATUM BLVD, #100, PHOENIX, AZ 85028-1663
(602) 263-0850
(602) 266-5490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
102
AZ
Other
Enumeration date
08/31/2006
Last updated
12/19/2012
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