Doctor Name: | DR. RONALD OLSON |
NPI Number: | 1003850082 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G25998 |
Business Practice Address: | 13855 E 14th St San Leandro, CA - 945782611 |
Business Phone Number: | 9252967156 |
Business Fax Number: | 9252967174 |
Mailing Address: | 175 Lennon Ln, Suite 100 WALNUT CREEK |
State: | CA |
Postal Code: | 945982485 |
Phone Number: | 9252967156 |
Fax Number: | 9252967174 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | G25998 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |