Individual
ALEX BRYAN OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-1805
(918) 494-4573
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
N9618
TX
208600000X
Surgery Physician
R70161
AZ
2086S0102X
Surgical Critical Care Physician
Primary
35592
OK
2086S0102X
Surgical Critical Care Physician
N9618
TX
2086S0127X
Trauma Surgery Physician
N9618
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200910850A
—
OK
Enumeration date
07/10/2007
Last updated
02/02/2023
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