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Organization
TENNESSEE VALLEY PEDIATRIC SEDATION SERVICES
Active
Organization
TENNESSEE VALLEY PEDIATRIC SEDATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIS YNGVE OLSON MD (PRESIDENT)
(256) 652-7852
Entity
Organization
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-7671
(256) 265-7670
Mailing address
6585 HIGHWAY 431 S, HAMPTON COVE, AL 35763-9230
(256) 652-7852
(256) 265-7670
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20602
AL
Other
Enumeration date
03/21/2006
Last updated
03/31/2008
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