Philip Holloway, DPM
Podiatrist in Paris, IL. Individual provider (NPI-1).
NPI number1083709166
StatusActive
Last updated in NPPESMar 23, 2015
Details
- NPI
- 1083709166
- Entity type
- Individual (NPI-1)
- Name
- Philip Holloway
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2006
- Last updated
- Mar 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 016003369 | IL | Yes |
| 213E00000X | Podiatrist | 07000548A | IN |
Practice location
727 E Court StreetParis, IL 61944-2460
Phone 217-465-8411 · Fax 217-465-3184
Mailing address
727 E Court StreetParis, IL 61944-2460
Phone 217-465-8411 · Fax 217-465-3184
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