Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 22135 | OK |
NPI | 1053352054 |
---|---|
Provider Name | Robert Michael Holbrook |
First Address | Norman, OK 73071-6649 |
Second Address | Norman, OK 73071-6649 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 13/06/2011 |