Most Relevant Information
Provider Data
| NPI Number: | 1003047853 |
| Provider Name: | GARRET CARL OLSON D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 4796 |
Most Important Dates
| Enumeration Date: | 07/28/2009 |
| Last Updated: | 07/11/2012 |
Provider Practice Location
1000 W BOISE CIR
ST JOHN OWASSO - EMERGENCY DEPT
BROKEN ARROW
OK
740124900
Practice Location Phone/Fax
| Phone: | 9189948000 |
| Fax: | 9189948497 |
Provider Mailing Location
1000 W BOISE CIR
ST JOHN OWASSO - EMERGENCY DEPT
BROKEN ARROW
OK
740124900
Provider Mailing Phone/Fax
| Phone: | 9189948000 |
| Fax: | 9189948497 |