Individual
DR. MICHAEL LEE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6192
(580) 379-5000
(580) 379-5509
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6192
(580) 379-5000
(580) 379-5509
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3686
OK
207Q00000X
Family Medicine Physician
3686
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091740A
—
OK
Enumeration date
02/15/2007
Last updated
01/27/2025
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