Organization
ORTHO PLUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT KEITH HOLLIMAN (AUTH OFFICIAL)
(405) 285-2994
Entity
Organization
Contact information
Practice address
941 W I 35 FRONTAGE RD STE 164, EDMOND, OK 73034-7375
(405) 285-2994
(405) 216-3743
Mailing address
301 LILAC DR STE 140, EDMOND, OK 73034-7288
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
02/23/2016
Last updated
08/09/2024
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