Provider Demographics
NPI:1922449537
Name:HOLLRAH, DAVID NATHANAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:NATHANAEL
Last Name:HOLLRAH
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:405-283-9000
Mailing Address - Fax:405-283-9025
Practice Address - Street 1:12200 ASHFORD DR
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-8762
Practice Address - Country:US
Practice Address - Phone:405-283-9000
Practice Address - Fax:405-283-9025
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2017-08-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK30090207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine