Organization
OLIVE BRANCH PSYCHIATRY
Active
Other names
Oliva Branch Clinic, Olive Branch Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM OLIVA MD (CHIEF MEDICAL OFFICER)
(405) 451-3454
Entity
Organization
Contact information
Practice address
13821 TECHNOLOGY DR STE B, OKLAHOMA CITY, OK 73134-1046
(405) 451-3454
(405) 451-3454
Mailing address
13821 TECHNOLOGY DR STE B, OKLAHOMA CITY, OK 73134-1046
(405) 451-3454
(405) 543-7359
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
10/04/2022
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