Individual provider · Type 1 NPI

Russell Holder, PA

Physician Assistant · Muskogee, OK

NPI number 1093483638 Active

Practice location

615 S 32nd St
Muskogee, OK 74401-5012

Call (539) 239-5240 Map

Fax (539) 239-5249

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4945 (OK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093483638

Russell Holder, PA's National Provider Identifier is 1093483638, issued on Aug 30, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Muskogee, OK. The record was last updated on May 18, 2026.