Provider Demographics
NPI:1063462653
Name:HOLLAR, GREGORY F (DO)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:F
Last Name:HOLLAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:7030 S YOSEMITE ST
Mailing Address - Street 2:STE 210
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2025
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7030 S YOSEMITE ST
Practice Address - Street 2:SUITE 220
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2026
Practice Address - Country:US
Practice Address - Phone:303-721-9984
Practice Address - Fax:303-996-3278
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO25423207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COD28372Medicare UPIN
COC452638Medicare PIN