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Individual

LARRY DEAN OLSON

Active
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Individual

LARRY DEAN OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1029948
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000195463
ANTHEM
IN
05
100323370
IN
01
200040852
RAILROAD MEDICARE
IN
01
SIHO
003682
IN
Enumeration date
07/03/2006
Last updated
01/04/2010
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