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Individual

HANS OLAVESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-2200
Mailing address
14119 N 71ST EAST AVE, COLLINSVILLE, OK 74021-5781
(208) 680-1885

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6464
OK
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/26/2017
Last updated
06/29/2021
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