Individual
DR. HOLLIE LYNN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 599-1000
Mailing address
3606 S 255TH WEST AVE, SAND SPRINGS, OK 74063-4801
(918) 859-6065
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
04/29/2012
Last updated
04/29/2012
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