Organization
TENNESSEE VALLEY PEDIATRIC SEDATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIS YNGVE OLSON MD (PRESIDENT)
(256) 652-7852
Entity
Organization
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-7671
(256) 265-7670
Mailing address
6585 HIGHWAY 431 S, HAMPTON COVE, AL 35763-9230
(256) 652-7852
(256) 265-7670
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20602
AL
Other
Enumeration date
03/21/2006
Last updated
03/31/2008
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