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Organization

ORTHO PLUS HOLDINGS LLC

Active
Find providers by NPI
Organization

ORTHO PLUS HOLDINGS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENT KEITH HOLLIMAN PA (MANAGER / OWNER)
(405) 227-1280
Entity
Organization

Contact information

Practice address
12301 S WESTERN AVE STE A3, OKLAHOMA CITY, OK 73170-6085
(405) 676-8643
(405) 676-8644
Mailing address
301 LILAC DR STE 140, EDMOND, OK 73034-7288
(405) 676-8643

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
261QM2500X
Medical Specialty Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200810750C
OK
Enumeration date
09/20/2021
Last updated
04/25/2024
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