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Individual

DAVID L OLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5900 COYLE AVE, SUITE A, CARMICHAEL, CA 95608-0400
(916) 332-1210
(916) 332-0207
Mailing address
5900 COYLE AVE, SUITE A, CARMICHAEL, CA 95608-0400
(916) 332-1210
(916) 332-0207

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G41521
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G415210
CA
01
1962422618
NPI
CA
01
G41521
MEDICAL LICENSE
CA
Enumeration date
07/19/2006
Last updated
02/14/2011
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