Individual
DR. BRENTON L OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1030 SE MURPHY BLVD, JOPLIN, MO 64801-5043
(417) 623-2828
Mailing address
1030 SE MURPHY BLVD, JOPLIN, MO 64801-5043
(417) 623-2828
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2020002181
MO
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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