Organization
HOLMES MEDICAL SERVICES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK R HOLMES DO (OWNER)
(580) 767-1777
Entity
Organization
Contact information
Practice address
1908 N 14TH ST, SUITE 202, PONCA CITY, OK 74601-2014
(580) 767-1777
(580) 762-2917
Mailing address
1908 N 14TH ST, SUITE 202, PONCA CITY, OK 74601-2014
(580) 767-1777
(580) 762-2917
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4196
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200118420A
—
OK
Enumeration date
07/24/2007
Last updated
04/20/2008
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