Individual
RICHARD PAUL OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
485 S MAIN ST, SUITE 101, SPRINGVILLE, UT 84663-2279
(801) 489-4990
(801) 489-4990
Mailing address
485 S MAIN ST, SUITE 101, SPRINGVILLE, UT 84663-2279
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5409134-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54091341277001
BLUE CROSS BLUE SHIELD
UT
01
—
74143
ALTIUS
UT
01
—
74999
PEHP
UT
01
—
821037
DMBA
UT
01
—
870395551OR2
EDUCATORS MUTUAL
UT
Enumeration date
06/30/2006
Last updated
07/08/2007
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