RUSSELL HOLDER

TULSA, OK
NPI1093483638
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  4945)
Enumeration Date2021-08-30
Last Update Date2024-02-14
Business Address
RUSSELL HOLDER PA
7818 E 55TH ST
TULSA, OK 74145-7817
Phone number: 918-549-1143
Mailing Address
RUSSELL HOLDER PA
615 S 32ND ST
MUSKOGEE, OK 74401-5012
Phone number: 539-239-5240
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