THEODORE OLENICK

MOUNTAIN HOME AFB, ID
NPI1396447025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: ID  8871750)
Enumeration Date2023-03-20
Last Update Date2026-07-21
Business Address
THEODORE OLENICK DO
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 208-828-6806
Mailing Address
THEODORE OLENICK DO
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: