Individual
HOLLY MARK MAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8325 NW EXPRESSWAY, OKLAHOMA CITY, OK 73162-6006
(405) 728-8000
(405) 720-5837
Mailing address
8325 NW EXPRESSWAY, OKLAHOMA CITY, OK 73162-6006
(405) 728-8000
(405) 720-5837
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4569
OK
Other
Enumeration date
08/05/2019
Last updated
02/12/2025
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