MR. Dewaine Allen Olson JR.
NPI #1720210248 in Peterson Afb, Colorado
Provider Information
- NPI Number
- 1720210248
- Entity Type
- Individual
- Name
- MR. Dewaine Allen Olson JR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Enumeration Date
- Aug 17, 2009
- Last Updated
- Aug 17, 2009
Practice Location
- Address
- 559 VINCENT ST
- City
- Peterson Afb
- State
- Colorado
- ZIP Code
- 80914
- Phone
- (719) 474-3862
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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