Individual provider · Type 1 NPI
Richard Paul Hollstrom,jr, DPM
Foot & Ankle Surgery Podiatrist · Lagrange, GA
NPI number
1710939145
Active
Practice location
1555 Doctors Dr, Ste 106
Lagrange, GA 30240-4139
Fax (706) 845-9371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | POD000988 (GA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
Other foot & ankle surgery podiatrist providers in Lagrange
About NPI 1710939145
Richard Paul Hollstrom,jr, DPM's National Provider Identifier is 1710939145, issued on May 16, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Lagrange, GA. The record was last updated on Nov 7, 2007.