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Organization
OLIVE BRANCH PSYCHIATRY
Active
Organization
OLIVE BRANCH PSYCHIATRY
Active
Other names
Oliva Branch Clinic, Olive Branch Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM OLIVA MD (CHIEF MEDICAL OFFICER)
(405) 451-3454
Entity
Organization
Contact information
Practice address
13821 TECHNOLOGY DR STE B, OKLAHOMA CITY, OK 73134-1046
(405) 451-3454
(405) 451-3454
Mailing address
13821 TECHNOLOGY DR STE B, OKLAHOMA CITY, OK 73134-1046
(405) 451-3454
(405) 543-7359
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
10/04/2022
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