# DAVID A. OLSON, MD, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891167821
- **Authorized official:** DR. DAVID ANDREW OLSON M.D. (OWNER/DIRECTOR)
- **Authorized official phone:** (209) 848-2273

## Contact information

- **Practice address:** 232 W F ST, OAKDALE, CA 95361-3844
- **Practice address phone:** (209) 848-2273
- **Practice address fax:** (209) 848-0242
- **Mailing address:** PO BOX 2156, OAKDALE, CA 95361-5156
- **Mailing address phone:** (209) 848-2273
- **Mailing address fax:** (209) 848-0242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G40340 | CA | Yes |

## Other

- **Enumeration date:** 10/29/2015
- **Last updated:** 02/23/2016