Individual
BRUCE A OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2035 SAVIERS RD, STE 5, OXNARD, CA 93033-3650
(805) 486-8710
(805) 486-2856
Mailing address
2035 SAVIERS RD, STE 5, OXNARD, CA 93033-3650
(805) 486-8710
(805) 486-2856
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1206
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E120607
—
CA
01
—
0883610001
CIGNA MEDICARE
CA
01
—
P00194968
RAILROAD MEDICARE
—
Enumeration date
08/15/2005
Last updated
11/05/2010
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