Organization
VLADIMIR HOLY, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADIMIR HOLY M.D. (OWNER)
(405) 422-6337
Entity
Organization
Contact information
Practice address
2315 PARKVIEW DR, EL RENO, OK 73036-2149
(405) 422-6337
(405) 422-6341
Mailing address
2315 PARKVIEW DR, EL RENO, OK 73036-2149
(405) 422-6337
(405) 422-6341
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20362
OK
207V00000X
Obstetrics & Gynecology Physician
20362
OK
208600000X
Surgery Physician
Primary
20362
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150886566-002
BLUE CROSS BLUE SHIELD
OK
Enumeration date
12/18/2006
Last updated
09/11/2025
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