Individual
JAY L. OLSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N LINCOLN BLVD, SUITE 150, OKLAHOMA CITY, OK 73104-3252
(405) 272-9644
Mailing address
1111 N LEE AVE, SUITE 236, OKLAHOMA CITY, OK 73103-2600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15318
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OK
Enumeration date
12/02/2005
Last updated
07/08/2007
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