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Individual

DR. DENNIS RAY OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1030 SE MURPHY BLVD, JOPLIN, MO 64801-5043
(417) 623-2828
(417) 623-2828
Mailing address
1030 SE MURPHY BLVD, JOPLIN, MO 64801-5043
(417) 623-2828
(417) 623-2828

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005520
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11282
BLUE CROSS BLUE SHIELD MO
MO
01
482257
BLUE CROSS BLUE SHIELD KS
KS
Enumeration date
08/01/2006
Last updated
07/08/2007
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