Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 69148 | NM |
NPI | 1013099076 |
---|---|
Provider Name | Dr. Joseph F Hollinger |
First Address | Albuquerque, NM 87102 |
Second Address | Albuquerque, NM 87102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 12/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12971 | (05) | NM |