Individual
JONATHAN ALLRED OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2210 CORONADO ST, IDAHO FALLS, ID 83404-7552
(208) 522-3355
(208) 522-6019
Mailing address
2210 CORONADO ST, IDAHO FALLS, ID 83404-7552
(208) 522-3355
(208) 522-6019
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101022655
MI
207X00000X
Orthopaedic Surgery Physician
58.030544
OH
207X00000X
Orthopaedic Surgery Physician
Primary
PENDING
ID
Other
Enumeration date
03/09/2016
Last updated
11/11/2025
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