Individual
MISS STEVIE MARIE WHITE HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2254 W ROGERS BLVD, SKIATOOK, OK 74070-3909
(855) 603-1147
Mailing address
2254 W ROGERS BLVD, SKIATOOK, OK 74070-3909
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2214
OK
Other
Enumeration date
02/03/2013
Last updated
03/25/2025
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