Individual
DEAN ALLEN HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
3721 N HIGLEY RD, FARR WEST, UT 84404-9606
(801) 586-9693
Mailing address
3721 N HIGLEY RD, FARR WEST, UT 84404-9606
(801) 586-9693
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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