| Doctor Name: | MR. RICHARD JAMES HOLLEY |
| NPI Number: | 1790720407 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 03635 |
| Business Practice Address: | 1500 Forest Glen Rd Physical Medicine And Rehab Dpt Silver Spring, MD - 209101483 |
| Business Phone Number: | 3017547340 |
| Business Fax Number: | 3017547342 |
| Mailing Address: | 4104 Lomar Ter, Greens At Manorwood MOUNT AIRY |
| State: | MD |
| Postal Code: | 217713909 |
| Phone Number: | 3018296779 |
| Fax Number: | 3017547342 |
| NPI Enumeration Date: | 06/17/2006 |
| NPI Last Update Date: | 11/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 03635 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |