Individual
DOUGLAS W HOLTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
817 S ELM PL, SUITE A, BROKEN ARROW, OK 74012-5369
(918) 251-2273
(918) 258-6446
Mailing address
817 S ELM PL, SUITE A, BROKEN ARROW, OK 74012-5369
(918) 251-2273
(918) 258-6446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15244
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100172440D
—
OK
01
—
300392142
TRICARE
OK
01
—
300392142001
BLUECROSS BLUE SHIELD
OK
01
—
P00389602
RAILROAD MEDICARE
OK
Enumeration date
01/27/2006
Last updated
02/25/2008
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