DR. Hollis Loren Stavn, O.D.

NPI #1194728527 in Santa Rosa, California

Provider Information

NPI Number
1194728527
Entity Type
Individual
Name
DR. Hollis Loren Stavn, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
May 31, 2005
Last Updated
Dec 20, 2012

Practice Location

Address
2305 MENDOCINO AVE
Address 2
STE B
ZIP Code
95403-3157
Phone
(707) 527-9137

Specialties & Taxonomy Codes

Specialty
Optometrist

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