Brent Holloway
NPI #1265051171 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1265051171
- Entity Type
- Individual
- Name
- Brent Holloway
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Apr 10, 2020
- Last Updated
- Apr 10, 2020
Practice Location
- Address
- 1301 E 17TH ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6273
- Phone
- (208) 538-3122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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