John Dirk Hollander in Santa Rosa - Foot & Ankle Surgery
John Dirk Hollander - NPI 1104822758
John Dirk Hollander is a Foot & Ankle Surgery in Santa Rosa, California. John Dirk Hollander practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for John Dirk Hollander is 1104822758. The last update date is 2020-10-06.
John Dirk Hollander's current location address is 95 Montgomery Dr Ste 114, Santa Rosa, California. You can contact this provider via phone number 7075781222 and fax number 7075788348. The mailing address for John Dirk Hollander is 95 Montgomery Dr Ste 114, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Dirk Hollander |
|---|---|
| Address | 95 Montgomery Dr Ste 114, Santa Rosa, California |
| Phone Number | 7075781222 |
| Fax Number | 7075788348 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1104822758 |
|---|---|
| Provider Enumeration Date | 2005-06-27 |
| Last Updated Date | 2020-10-06 |
Provider Mailing Address Detail
| Address | 95 Montgomery Dr Ste 114 |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954046617 |
| Phone Number | 7075781222 |
| Fax Number | 7075788348 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | E2845 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000E28450 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John Dirk Hollander by the Centers for Medicare & Medicaid Services?
The John Dirk Hollander has been assigned the NPI (National Provider Identifier) 1104822758 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where John Dirk Hollander's facilities are geographically located?
The facilities of John Dirk Hollander are physically situated at the following location: 95 Montgomery Dr Ste 114, Santa Rosa, CA, 954046617.
What is the John Dirk Hollander's specialty and taxonomy code?
The John Dirk Hollander's specialty is Foot & Ankle Surgery, and the corresponding taxonomy code is 213Es0103X.
When was the John Dirk Hollander's 1104822758 issued?
The John Dirk Hollander's 1104822758 was issued on 2005-06-27.
As of what date was the information pertaining to John Dirk Hollander, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Dirk Hollander, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-06.