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NPI Code Detail

MEDICARE: DAVID LEE HOLDEN MD

MEDICARE: DAVID LEE HOLDEN MD
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
1207X00000XOrthopaedic Surgery Physician14695OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2200018956OTHEROKRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3730714291-023OTHEROKBCBS OF OKLAHOMA

General Provider Information

NPI Number : 1801894159
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID LEE HOLDEN MD
Provider Business Mailing Address
First Line : 9600 BROADWAY EXT
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-7408
Country : US
Telephone Number : 405-230-9000
Fax Number : 405-230-9175
Provider Business Practice Location Address
First Line : 9600 BROADWAY EXT
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-7408
Country : US
Telephone Number : 405-230-9000
Fax Number : 405-230-9475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 08/09/2019

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