Individual
MR. FRED LEE OLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1514 W HALL OF FAME, STILLWATER, OK 74078-0001
(405) 744-7260
(405) 744-7670
Mailing address
1514 W HALL OF FAME, STILLWATER, OK 74078-0001
(405) 744-7260
(405) 744-7670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1855
OK
Other
Enumeration date
10/31/2009
Last updated
10/31/2009
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