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NPI Code Detail

MEDICARE: OLSEN ORTHOPEDICS, PLLC

MEDICARE: OLSEN ORTHOPEDICS, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician4132OK

General Provider Information

NPI Number : 1093853731
Entity Type Code : Organization
Provider Name (Legal Business Name) : OLSEN ORTHOPEDICS, PLLC
Provider Business Mailing Address
First Line : 1140 S DOUGLAS BLVD
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73130-5236
Country : US
Telephone Number : 405-733-8000
Fax Number : 405-733-7820
Provider Business Practice Location Address
First Line : 1140 S DOUGLAS BLVD
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73130-5236
Country : US
Telephone Number : 405-733-8000
Fax Number : 405-733-7820
Authorized Official
Title or Position : OWNER
Name : DR. LARRY TODD OLSEN
Credential : DO
Telephone Number : 405-733-8000
Provider Enumeration Date : 02/02/2007
Last Update Date : 08/09/2021

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Directions to “OLSEN ORTHOPEDICS, PLLC ” Practice Location

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