IndividualActive
Adam Hollenback
NPI 1366273682 · Medical Physician Assistant · Cottonwood, AZ
Provider details
- NPI number
- 1366273682
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- AZ-4388 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1515 E Ridgeview Dr
Cottonwood, AZ 86326-6507
Phone: (480) 216-0410
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 391
Cottonwood, AZ 86326-0391
Registry dates
- Enumerated
- 2024-08-08
- Last updated
- 2024-08-08
- Certified
- 2024-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.