Individual
ROBERT DUNCAN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
338 E BANNOCK ST, BOISE, ID 83712-6207
(208) 336-0895
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NP-1235A
ID
367500000X
Certified Registered Nurse Anesthetist
R172566-9
MN
Other
Enumeration date
02/25/2009
Last updated
12/12/2012
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