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General NPI Number Information
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NPI Number | 1992063739
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Entity Type | Individual
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Provider Name | ANDREW JAMES HOLLISTER MD
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Gender | Male
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1100 9TH AVE
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City | SEATTLE
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State | WA
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Zip | 98101-2756
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Country | US
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Telephone | 206-223-6980
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Fax | 206-223-6982
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Provider Business Mailing Address
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Address Line | 925 SENECA ST H8-GME
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City | SEATTLE
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State | WA
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Zip | 98101-2742
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Country | US
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Telephone | 206-583-6079
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Fax | 206-583-2307
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD60634747
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License Number State | WA
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