Individual
RANDALL PEYTON HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1145 S UTICA AVE, TULSA, OK 74104-4000
(918) 579-2367
Mailing address
1923 S UTICA AVE, TULSA, OK 74104
(918) 744-3528
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29182
OK
Other
Enumeration date
04/16/2012
Last updated
12/10/2015
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