RUSSELL HOLDER

MUSKOGEE, OK
NPI1093483638
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  4945)
Enumeration Date2021-08-30
Last Update Date2026-05-18
Business Address
RUSSELL HOLDER PA
615 S 32ND ST
MUSKOGEE, OK 74401-5012
Phone number: 539-239-5240
Mailing Address
RUSSELL HOLDER PA
615 S 32ND ST
MUSKOGEE, OK 74401-5012
Phone number: 539-239-5240