Individual
MR. CHARLES DALE HOLLAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 SE HOWARD AVE, BARTLESVILLE, OK 74006-2204
(918) 333-0474
(918) 333-5125
Mailing address
205 SE HOWARD AVE, BARTLESVILLE, OK 74006-2204
(918) 333-0474
(918) 333-5125
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
15492
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100089920A
—
OK
05
—
100130650C
—
KS
Enumeration date
07/21/2006
Last updated
06/18/2008
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