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Individual

DR. JOHN R OLSEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3851 ROGER BROOKE DR, MCHE-QD (CREDENTIALS), FORT SAM HOUSTON, TX 78234-4501
(210) 916-4143
Mailing address
639 ELIZABETH RD, SAN ANTONIO, TX 78209-6134
(210) 828-2021
(210) 828-2021

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD041023E
PA

Other

Enumeration date
11/11/2005
Last updated
07/08/2007
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