Individual
DR. RICHARD WILLIAM OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 MASCOMA STREET, ALICE PECK DAY MEMORIAL HOSPITAL, LEBANON, NH 03766
(603) 448-7410
Mailing address
127 TRILLIUM TRL, BANGOR, ME 04401-2150
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11425
NH
207L00000X
Anesthesiology Physician
Primary
MD15277
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y004072NH02
ANTHEM BS
NH
05
—
1009152
—
NH
Enumeration date
10/17/2006
Last updated
01/19/2022
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