Individual
DR. TIMOTHY W. HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2025 E 71ST STREET, TULSA, OK 74136-5407
(918) 728-7586
(918) 508-7032
Mailing address
6950 S UTICA AVE, TULSA, OK 74136-3903
(918) 728-7586
(918) 508-7032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19951
OK
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
19951
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0458450140
—
OK
Enumeration date
06/01/2005
Last updated
06/26/2020
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