Individual
MR. JAMES A OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 N 2ND ST STE 102, BOISE, ID 83702-6129
(208) 424-0280
Mailing address
222 N 2ND ST STE 102, BOISE, ID 83702-6129
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M-9825
ID
208C00000X
Colon & Rectal Surgery Physician
Primary
M-9825
ID
Other
Enumeration date
09/13/2005
Last updated
11/04/2020
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