Individual
OLIVER DE LOS ANGELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
2300 NW 191ST CT, EDMOND, OK 73012-2640
(913) 484-7467
(913) 484-7467
Taxonomy
Speciality
Code
Description
License number
State
208U00000X
Clinical Pharmacology Physician
Primary
17267
OK
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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