Individual
BRENT KEITH HOLLIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4345 W MEMORIAL RD, SUITE 200, OKLAHOMA CITY, OK 73134-1702
(405) 936-5814
(405) 936-5810
Mailing address
4345 W MEMORIAL RD, SUITE 200, OKLAHOMA CITY, OK 73134-1702
(405) 936-5814
(405) 936-5810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA636
OK
Other
Enumeration date
06/01/2006
Last updated
08/21/2013
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