Organization
ORTHO PLUS HOLDINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT K HOLLIMAN (OFFICER)
(405) 285-2994
Entity
Organization
Contact information
Practice address
12301 S WESTERN AVE STE A3, OKLAHOMA CITY, OK 73170-6085
(056) 768-6434
(405) 676-8644
Mailing address
301 LILAC DR STE 140, EDMOND, OK 73034-7288
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
19051
OK
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
03/03/2016
Last updated
04/25/2024
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