Individual
DR. CHARLES W HOLLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 NW 56TH ST, SUITE D 100, OKLAHOMA CITY, OK 73112-4550
(405) 942-9200
(405) 949-1483
Mailing address
3525 NW 56TH ST, SUITE D 100, OKLAHOMA CITY, OK 73112-4550
(405) 942-9200
(405) 949-1483
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
15779
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124400A
—
OK
Enumeration date
07/18/2006
Last updated
12/04/2009
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