Ray Brock Olson, PA

NPI #1033776562 in North Logan, Utah

Provider Information

NPI Number: 1033776562
Entity Type: Individual
Name: Ray Brock Olson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 20, 2019
Last Updated: Jun 24, 2022

Practice Location

Address: 2245 N 400 E
Address 2: STE 301
City: North Logan
State: Utah
ZIP Code: 84341-1892
Phone: (435) 753-7880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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