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Individual

DAVID A OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
232 W F ST, OAKDALE, CA 95361-3844
(209) 848-2273
(209) 848-0242
Mailing address
PO BOX 2156, OAKDALE, CA 95361-5156
(209) 848-2273
(209) 848-0242

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G40340
CA
207RI0200X
Infectious Disease Physician
G403400
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G403400
CA
01
CA179077
MEDICARE PTAN
CA
Enumeration date
08/13/2006
Last updated
02/23/2016
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