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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 19, 2024 7:08 PM CDT
Next Update: Monday, May 20, 2024 2:50 AM CDT

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HOLLER, BENJAMIN       
Practice Address: REVOLUTION HEALTH
12142 S YUKON AVE
GLENPOOL OK 74033

Address last updated on 12/2/2021
Phone #: (918) 935-3636
Fax #:
County: TULSA
License: 38874
Dated: 11/12/2021
Expires: 3/1/2025
License Type: Medical Doctor
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
CME Year: 2027
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
REVOLUTION HEALTH
12142 S YUKON AVE
GLENPOOL OK 74033

Phone #: (918) 935-3636
Fax #:

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