Healthcare Provider Details

I. General information

NPI: 1780855445
Provider Name (Legal Business Name): HOLLLANDER FOOT SPECIALISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2008
Last Update Date: 03/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6558 E CARONDELET DR
TUCSON AZ
85710-2117
US

IV. Provider business mailing address

6558 E CARONDELET DR
TUCSON AZ
85710-2117
US

V. Phone/Fax

Practice location:
  • Phone: 520-296-7456
  • Fax: 520-296-6337
Mailing address:
  • Phone: 520-296-7456
  • Fax: 520-296-6337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number0184
License Number StateAZ

VIII. Authorized Official

Name: DR. STEVEN BARRY HOLLANDER
Title or Position: PRESIDENT
Credential: DPM
Phone: 520-296-7456