MEDICARE: ADAM HOLLENBACK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	AZ-4388	AZ

General Provider Information

NPI Number	:	1366273682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM HOLLENBACK

Provider Business Mailing Address
First Line	:	PO BOX 391
Second Line	:
City	:	COTTONWOOD
State	:	AZ
Zip	:	86326-0391
Country	:	US
Telephone Number	:	480-216-0410
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 E RIDGEVIEW DR
Second Line	:
City	:	COTTONWOOD
State	:	AZ
Zip	:	86326-6507
Country	:	US
Telephone Number	:	480-216-0410
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2024
Last Update Date	:	08/08/2024

Similar Medicare Providers

1689684185 — DR. KAVITA G WILLESEN MD
Practice Location Address:

6965 S UNION PARK CTR STE 430
COTTONWOOD HEIGHTS, UT
84047-6507

Practice Phone: 385-308-8937
Practice Fax:

1467110833 — ATLAS INTERNAL MEDICINE LLC
Practice Location Address:

6965 S UNION PARK CTR STE 430
COTTONWOOD HEIGHTS, UT
84047-6507

Practice Phone: 385-308-8937
Practice Fax: 801-701-8308

1629924832 — DR. SAMUEL BRIAN WIESE PT, DPT, SCS
Practice Location Address:

960 S MAIN ST STE H
COTTONWOOD, AZ
86326-5436

Practice Phone: 928-852-2429
Practice Fax:

1942194287 — MR. AMIT KUMAR M.D.
Practice Location Address:

VERDE VALLEY MEDICAL CENTER, RESIDENCY PROGRAM , 269 S CANDY LANE
COTTONWOOD, AZ
86326

Practice Phone: 928-639-6054
Practice Fax:

1427776533 — HELPING OURSELVES PURSUE ENRICHMENT, INC
Practice Location Address:

8 E COTTONWOOD ST
COTTONWOOD, AZ
86326-4382

Practice Phone: 928-634-2236
Practice Fax: 928-634-1221

1992708986 — DR. JEAN YEVGENIYA KROYN DPM
Practice Location Address:

1759 E VILLA DR , STE 114
COTTONWOOD, AZ
86326-4681

Practice Phone: 928-634-8356
Practice Fax: 928-639-2777

Directions to “ ADAM HOLLENBACK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.