Individual
JEFFREY CARL OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
120 BURRUS BLVD, BRODHEADSVILLE, PA 18322-7812
(570) 420-6300
(570) 402-2920
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS017615
PA
207Q00000X
Family Medicine Physician
OT014699
PA
Other
Enumeration date
07/23/2012
Last updated
09/05/2024
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