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Lloyd R Holloway, PA

Physician Assistant in Galena, KS. Individual provider (NPI-1).

NPI number1376589598
StatusActive
Last updated in NPPESJan 5, 2012

Details

NPI
1376589598
Entity type
Individual (NPI-1)
Name
Lloyd R Holloway
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Jun 22, 2006
Last updated
Jan 5, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant1501269KSYes
363A00000X Physician Assistant2001005636MO

Practice location

444 Four States Dr
Suite 1
Galena, KS 66739-4324

Phone 620-783-4441 · Fax 620-783-4090

Mailing address

Po Box 2546
Joplin, MO 64803-2546

Phone 620-783-4441 · Fax 620-783-4090

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Other Physician Assistant providers in Galena, KS

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