Individual
JEFF C OLAVESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
135 S STATE ST, RIGBY, ID 83442-1449
(208) 745-1109
(208) 745-1811
Mailing address
135 S STATE ST, RIGBY, ID 83442-1449
(208) 745-1109
(208) 745-1811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1269
ID
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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