Individual
JULIO R OLAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 BRECKENRIDGE DR STE 106, LITTLE ROCK, AR 72205-1565
(501) 451-2500
(479) 968-1673
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(800) 824-4094
(479) 968-1673
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
E4104
AR
207LP2900X
Pain Medicine (Anesthesiology) Physician
2013001194
MO
208VP0000X
Pain Medicine Physician
2013001194
MO
208VP0000X
Pain Medicine Physician
Primary
E4104
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156129001
—
AR
Enumeration date
10/13/2006
Last updated
06/27/2022
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