SearchIdaho363L00000X

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