Jacob Hollis, DO

NPI #1720873938 in Wpafb, Ohio

Provider Information

NPI Number: 1720873938
Entity Type: Individual
Name: Jacob Hollis, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DO
Enumeration Date: Apr 10, 2025
Last Updated: Feb 4, 2026

Practice Location

Address: 4881 SUGAR MAPLE DR
City: Wpafb
State: Ohio
ZIP Code: 45433-5529
Phone: (937) 257-9926

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider	171000000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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