BLAINE OLSEN

POCATELLO, ID
NPI1922236454
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  MR-1066)
Enumeration Date2009-06-23
Last Update Date2012-12-17
Business Address
BLAINE OLSEN D.O.
1951 BENCH RD STE B
POCATELLO, ID 83201-2073
Phone number: 208-238-1000
Mailing Address
BLAINE OLSEN D.O.
1951 BENCH RD STE B
POCATELLO, ID 83201-2073
Phone number: 208-238-1000
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