Individual
DR. VLADIMIR HOLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 PARKVIEW DRIVE, EL RENO, OK 73036
(405) 422-6337
(405) 422-6341
Mailing address
2315 PARKVIEW DRIVE, EL RENO, OK 73036
(405) 422-6337
(405) 422-6341
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20362
OK
207Q00000X
Family Medicine Physician
20362
OK
207V00000X
Obstetrics & Gynecology Physician
20362
OK
208600000X
Surgery Physician
20362
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100020560A
—
OK
05
—
100020560E
—
OK
Enumeration date
11/20/2006
Last updated
10/25/2022
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