| Doctor Name: | JOHN ROGER HOLLISTER |
| NPI Number: | 1003906785 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 19134 |
| Business Practice Address: | 13123 E 16th Ave Aurora, CO - 800457106 |
| Business Phone Number: | 7207771234 |
| Business Fax Number: | |
| Mailing Address: | Po Box 110429, AURORA |
| State: | CO |
| Postal Code: | 800420429 |
| Phone Number: | 3034937000 |
| Fax Number: | |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 10/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0201X |
| License Number: | 19134 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Pediatric Allergy/Immunology |
| Taxonomy Definition: | A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |