Dean Allen Holloway, IDMT

NPI #1962646489 in Farr West, Utah

Provider Information

NPI Number: 1962646489
Entity Type: Individual
Name: Dean Allen Holloway, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: IDMT
Enumeration Date: Apr 28, 2009
Last Updated: Apr 28, 2009

Practice Location

Address: 3721 N HIGLEY RD
City: Farr West
State: Utah
ZIP Code: 84404-9606
Phone: (801) 586-9693

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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