Individual
MARK D OLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5200 E I 240 SERVICE RD, OKLAHOMA CITY, OK 73135-2607
(405) 628-6000
(405) 628-6916
Mailing address
PO BOX 268821, OKLAHOMA CITY, OK 73126-8821
(405) 652-0981
(405) 266-1088
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15788
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100106910A
—
OK
Enumeration date
03/24/2006
Last updated
01/30/2019
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