Blaine Olsen, D.O.

NPI #1922236454 in Pocatello, Idaho

Provider Information

NPI Number: 1922236454
Entity Type: Individual
Name: Blaine Olsen, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jun 23, 2009
Last Updated: Dec 17, 2012

Practice Location

Address: 1951 BENCH RD
Address 2: STE B
City: Pocatello
State: Idaho
ZIP Code: 83201-2073
Phone: (208) 238-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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