Individual
DR. JACOB HOLLENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1438 HARDCASTLE BLVD, PURCELL, OK 73080-8233
(405) 527-4700
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
(580) 421-2970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6675
OK
Other
Enumeration date
05/10/2018
Last updated
02/25/2022
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