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NPI Code Detail

MEDICARE: HOLLY FRITCH PA-C

MEDICARE:   HOLLY  FRITCH  PA-C
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
1363A00000XPhysician Assistant5789OK

General Provider Information

NPI Number : 1225995632
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY FRITCH PA-C
Provider Business Mailing Address
First Line : 810 SE 9TH ST
Second Line :
City : PRYOR
State : OK
Zip : 74361-7210
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2408 E 81ST ST STE 300
Second Line :
City : TULSA
State : OK
Zip : 74137-4215
Country : US
Telephone Number : 918-477-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “ HOLLY FRITCH PA-C” Practice Location

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