Individual
MR. ROBERT J OLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 748-7585
Mailing address
1705 E 19TH ST, SUITE 302, TULSA, OK 74104-5405
(918) 748-7585
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R0083780
OK
Other
Enumeration date
10/27/2009
Last updated
07/15/2010
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