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Individual

BARRY E OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 533-6100
Mailing address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 533-6100

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
107046
MO

Other

Enumeration date
09/05/2006
Last updated
07/08/2007
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