John D Hollander Dpm INC
Durable Medical Equipment & Medical Supplies in Santa Rosa, CA. Organization (NPI-2).
NPI number1275748337
StatusActive
Last updated in NPPESApr 11, 2019
Details
- NPI
- 1275748337
- Entity type
- Organization (NPI-2)
- Legal business name
- John D Hollander Dpm INC
- Organization subpart
- No
- Enumeration date
- May 11, 2007
- Last updated
- Apr 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | E2845 | CA | Yes |
Practice location
95 Montgomery Dr Ste 114Santa Rosa, CA 95404-6617
Phone 707-578-1222 · Fax 707-578-8348
Mailing address
95 Montgomery Dr Ste 114Santa Rosa, CA 95404-6617
Phone 707-578-1222 · Fax 707-578-8348
Authorized official
John Dirk Hollander
Podiatrist Owner
7075781222
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