Individual
JUAN C OLAZAGASTI
Active
Individual
JUAN C OLAZAGASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
0101240810
VA
2080P0206X
Pediatric Gastroenterology Physician
ME0057738
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010344701
—
VA
05
—
010383731
—
VA
05
—
55285201
—
FL
Enumeration date
08/29/2006
Last updated
08/09/2022
Update your record
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