DR. Randall Holloway, OD

NPI #1134221864 in Fort Scott, Kansas

Provider Information

NPI Number
1134221864
Entity Type
Individual
Name
DR. Randall Holloway, OD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Sep 2, 2006
Last Updated
Jan 5, 2012

Practice Location

Address
4 S NATIONAL AVE
State
Kansas
ZIP Code
66701-1309
Phone
(620) 223-0850

Specialties & Taxonomy Codes

Specialty
Optometrist

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