Organization
ALAN OLMSTEAD MD CHTD
Active
Organization
ALAN OLMSTEAD MD CHTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN D OLMSTEAD M.D. (DOCTOR)
(208) 734-6800
Entity
Organization
Contact information
Practice address
844 WASHINGTON ST N, SUITE 100, TWIN FALLS, ID 83301-3874
(208) 734-6800
(208) 735-1635
Mailing address
844 WASHINGTON ST N, SUITE 100, TWIN FALLS, ID 83301-3874
(208) 734-6800
(208) 735-1635
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M-4775
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001242700
—
ID
Enumeration date
10/24/2007
Last updated
03/29/2016
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