Ron W Holley Jr Do LLC

NPI #1285848317 in Tulsa, Oklahoma

Provider Information

NPI Number: 1285848317
Entity Type: Organization
Organization Name: Ron W Holley Jr Do LLC
Primary Specialty: Ophthalmology
Enumeration Date: May 9, 2007
Last Updated: Oct 4, 2007

Practice Location

Address: 1323 E 71ST ST
Address 2: STE 220
City: Tulsa
State: Oklahoma
ZIP Code: 74136-5045
Phone: (918) 493-5800

Authorized Official

Name: MRS. KATRINA S HOLLEY, J.D.
Title: CFO
Phone: (918) 493-5800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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