Individual
HOLLY WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-6651
Mailing address
700 NE 13TH ST # 38, OKLAHOMA CITY, OK 73104-5004
(405) 764-8066
(405) 271-1001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5669
OK
Other
Enumeration date
09/26/2024
Last updated
04/15/2026
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