Individual
DR. DOUGLAS CRAIG OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
670 PONAHAWAI ST, SUITE 208, HILO, HI 96720-2660
(808) 935-2112
(808) 935-2110
Mailing address
670 PONAHAWAI ST, SUITE 208, HILO, HI 96720-2660
(808) 935-2112
(808) 935-2110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10618
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251602-12
—
HI
Enumeration date
02/18/2007
Last updated
09/21/2015
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