Doctor Name: | DANIEL OLSON |
NPI Number: | 1023050184 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 30332 |
Business Practice Address: | 2050 S Main St Delta, CO - 814162407 |
Business Phone Number: | 9708749595 |
Business Fax Number: | |
Mailing Address: | Po Box 1129, DELTA |
State: | CO |
Postal Code: | 814161129 |
Phone Number: | 9708747225 |
Fax Number: | 9708747482 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 30332 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |