Individual
DR. JOHN W HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
427 FAIRVIEW AVE, PONCA CITY, OK 74601-1923
(580) 765-9299
(580) 765-2199
Mailing address
427 FAIRVIEW AVE, PONCA CITY, OK 74601-1923
(580) 765-9299
(580) 765-2199
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21238
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100825020F
—
OK
Enumeration date
12/19/2005
Last updated
05/05/2008
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