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Organization

ARDMORE ORTHO PLUS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENT KEITH HOLLIMAN PA (MANAGER)
(580) 226-7587
Entity
Organization

Contact information

Practice address
2419 N COMMERCE ST STE B, ARDMORE, OK 73401-1357
(580) 226-7587
(580) 226-4878
Mailing address
301 LILAC DR STE 140, EDMOND, OK 73034-7288
(405) 906-3375
(405) 216-3743

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
08/20/2025
Last updated
08/20/2025
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