Individual
DR. RUSSELL J. OLSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 432-0329
Mailing address
4501 GILBERTSON RD, FAIRFAX, VA 22032-3615
(703) 503-0348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27710
MN
Other
Enumeration date
01/13/2006
Last updated
07/08/2007
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