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NPI Code Detail

MEDICARE: DR. MICHAEL P. OLAY MD

MEDICARE:  DR. MICHAEL P. OLAY  MD
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
1207Q00000XFamily Medicine Physician19464OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205801552
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL P. OLAY MD
Provider Business Mailing Address
First Line : 416 W 15TH ST
Second Line : BLDG 200
City : EDMOND
State : OK
Zip : 73013-3747
Country : US
Telephone Number : 405-471-6611
Fax Number : 405-471-5858
Provider Business Practice Location Address
First Line : 416 W 15TH ST
Second Line : BLDG 200
City : EDMOND
State : OK
Zip : 73013-3747
Country : US
Telephone Number : 405-471-6611
Fax Number : 405-471-5858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 04/28/2015

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Directions to “ DR. MICHAEL P. OLAY MD” Practice Location

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