Gary L Olaveson, DC

NPI #1336163476 in Idaho Falls, Idaho

Provider Information

NPI Number: 1336163476
Entity Type: Individual
Name: Gary L Olaveson, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jul 26, 2006
Last Updated: Sep 14, 2017

Practice Location

Address: 657 S WOODRUFF AVE
City: Idaho Falls
State: Idaho
ZIP Code: 83401-5596
Phone: (208) 552-9886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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