Individual
LESLIE GULLAHORN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-4004
(559) 459-5029
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A76986
CA
207X00000X
Orthopaedic Surgery Physician
24897
AZ
207X00000X
Orthopaedic Surgery Physician
339267
NY
207X00000X
Orthopaedic Surgery Physician
Primary
A76986
CA
207X00000X
Orthopaedic Surgery Physician
MD482935
PA
207XX0801X
Orthopaedic Trauma Physician
A76986
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
833146
—
AZ
Enumeration date
11/30/2005
Last updated
05/15/2026
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