Provider Demographics
NPI:1881127678
Name:HOLLOWAY, DANIEL DOUGLAS (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:DOUGLAS
Last Name:HOLLOWAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880, 1403 - 29TH ST NW
Mailing Address - Street 2:
Mailing Address - City:CALGARY
Mailing Address - State:AB
Mailing Address - Zip Code:T2N 2T9
Mailing Address - Country:CA
Mailing Address - Phone:403-919-1950
Mailing Address - Fax:
Practice Address - Street 1:880, 1403 - 29TH ST NW
Practice Address - Street 2:
Practice Address - City:CALGARY
Practice Address - State:AB
Practice Address - Zip Code:T2N 2T9
Practice Address - Country:CA
Practice Address - Phone:403-944-5479
Practice Address - Fax:403-270-3715
Is Sole Proprietor?:No
Enumeration Date:2017-04-07
Last Update Date:2019-02-08
Deactivation Date:2017-11-09
Deactivation Code:
Reactivation Date:2017-11-27
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program