Individual
ANDREW L OLNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 E ALICE ST, BLACKFOOT, ID 83221-4925
(208) 785-1200
(208) 785-8516
Mailing address
700 E ALICE ST, P.O. BOX 400, BLACKFOOT, ID 83221-4925
(208) 785-1200
(208) 785-8516
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M6275
ID
Other
Enumeration date
01/19/2007
Last updated
12/22/2010
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