MEDICARE: GARRET CARL OLSON D.O.

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
1	207P00000X	Emergency Medicine Physician	4796	OK

General Provider Information

NPI Number	:	1003047853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARRET CARL OLSON D.O.

Provider Business Mailing Address
First Line	:	1000 W BOISE CIR
Second Line	:	ST JOHN OWASSO - EMERGENCY DEPT
City	:	BROKEN ARROW
State	:	OK
Zip	:	74012-4900
Country	:	US
Telephone Number	:	918-994-8000
Fax Number	:	918-994-8497

Provider Business Practice Location Address
First Line	:	1000 W BOISE CIR
Second Line	:	ST JOHN OWASSO - EMERGENCY DEPT
City	:	BROKEN ARROW
State	:	OK
Zip	:	74012-4900
Country	:	US
Telephone Number	:	918-994-8000
Fax Number	:	918-994-8497

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2009
Last Update Date	:	07/11/2012

Similar Medicare Providers

1922950823 — KND DEVELOPMENT 59, LLC
Practice Location Address:

1000 W BOISE CIR FL 3
BROKEN ARROW, OK
74012-4900

Practice Phone: 918-682-6161
Practice Fax:

1427132182 — MAYS DRUG STORES IN
Practice Location Address:

4900 W KENOSHA ST
BROKEN ARROW, OK
74012-8517

Practice Phone: 918-461-9968
Practice Fax: 918-416-9049

1497988596 — ST. JOHN BROKEN ARROW, INC
Practice Location Address:

1000 W BOISE CIR
BROKEN ARROW, OK
74012-4900

Practice Phone: 918-994-8100
Practice Fax: 918-994-8199

1891263968 — MADISON HANNAH SMITH RD, LD
Practice Location Address:

1000 W BOISE CIR FL 3
BROKEN ARROW, OK
74012-4900

Practice Phone: 918-994-8300
Practice Fax:

1205588928 — POST ACUTE PHYSICIANS, LLC
Practice Location Address:

1000 W BOISE CIR FL 3
BROKEN ARROW, OK
74012-4900

Practice Phone: 918-994-8000
Practice Fax:

1609583533 — KYLE JAMES BATES PHARM.D.
Practice Location Address:

1000 W BOISE CIR
BROKEN ARROW, OK
74012-4900

Practice Phone: 918-994-8149
Practice Fax:

Directions to “ GARRET CARL OLSON D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.