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NPI Code Detail

MEDICARE: ROBERT M. HOLBROOK MD, PLLC

MEDICARE: ROBERT M. HOLBROOK MD, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician22135OK

General Provider Information

NPI Number : 1801824503
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT M. HOLBROOK MD, PLLC
Provider Business Mailing Address
First Line : 1125 N PORTER AVE
Second Line : SUITE 206
City : NORMAN
State : OK
Zip : 73071-6446
Country : US
Telephone Number : 405-366-8619
Fax Number : 405-366-1839
Provider Business Practice Location Address
First Line : 1125 N PORTER AVE
Second Line : SUITE 206
City : NORMAN
State : OK
Zip : 73071-6446
Country : US
Telephone Number : 405-366-8619
Fax Number : 405-366-1839
Authorized Official
Title or Position : OWNER
Name : ROBERT M HOLBROOK
Credential : M.D.
Telephone Number : 405-366-8619
Provider Enumeration Date : 06/29/2006
Last Update Date : 08/22/2020

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Directions to “ROBERT M. HOLBROOK MD, PLLC ” Practice Location

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