Individual
DR. MICHAEL P. OLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
416 W 15TH ST, BLDG 200, EDMOND, OK 73013-3747
(405) 471-6611
(405) 471-5858
Mailing address
416 W 15TH ST, BLDG 200, EDMOND, OK 73013-3747
(405) 471-6611
(405) 471-5858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19464
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100168260C
—
OK
Enumeration date
02/21/2006
Last updated
04/28/2015
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