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Individual

ALAN B. HOLLINGSWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4300 MCAULEY BLVD, OKLAHOMA CITY, OK 73120-8302
(405) 936-5455
(405) 936-5217
Mailing address
4401 W MEMORIAL RD, SUITE 140, OKLAHOMA CITY, OK 73134-1785
(405) 752-3162
(405) 936-5211

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10885
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100110110A
OK
01
10885
LICENSE
OK
01
17029
OBNDD
OK
01
P00199417
RAILROAD
OK
Enumeration date
07/11/2006
Last updated
05/20/2014
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