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Individual
ROBERT C OLSON
Active
Individual
ROBERT C OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G30839
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G308390
—
CA
01
—
AM787Z
RAILROAD MEDICARE
CA
01
—
C013
TRICARE
CA
Enumeration date
07/07/2005
Last updated
02/19/2016
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