Individual
JENNIFER MARIE OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-4446
(208) 934-4442
Mailing address
267 N CANYON DR, GOODING, ID 83330-5500
(918) 855-3348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5260
OK
207Q00000X
Family Medicine Physician
Primary
O-0807
ID
Other
Enumeration date
04/20/2011
Last updated
12/27/2016
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