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Individual

RICHARD P HOLSOPPLE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1831 E 71ST ST, TULSA, OK 74136-3922
(954) 399-4673
Mailing address
3601 SW 160TH AVE STE 250, MIRAMAR, FL 33027-6314
(954) 399-4673

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3857
OK
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
3857
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200001400B
OK
Enumeration date
10/12/2005
Last updated
07/12/2024
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