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Individual

DR. DAVID L OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10060 REGENCY CIR, OMAHA, NE 68114-3732
(402) 354-1580
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12523
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2985416
IA
05
47068731742
NE
05
47068731798
NE
Enumeration date
08/30/2006
Last updated
12/03/2007
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