Search › Idaho › 363L00000X
Jonathan Holloway, DNP
NPI 1760089841 · on the registry since 2020
Practice
- Address
- 803 S Main St Ste 210
Moscow, ID 83843 - Phone
- (509) 228-1000
- Fax
- (509) 252-9300
- Organisation at this address
- Community Health Assoc
Gritman Medical Center Inc
Gritman Medical Center Inc
Latah Community Health Pharmacy
Palouse Specialty Physicians, P.S.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
163W00000X
363L00000X
363LF0000X - Licence states on file
- MP, AZ, HI, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho