Individual
BRYON KEITH OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADIOLOGIC TECHNOLOG
Contact information
Practice address
1418 14TH AVE S, FARGO, ND 58103-3918
(701) 234-0010
Mailing address
1418 14TH AVE S, FARGO, ND 58103-3918
(701) 234-0010
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
204644
—
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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