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Search › Idaho › 208000000X

Theodore Olenick, DO

NPI 1396447025 · on the registry since 2023

Practice

Address
90 Hope Dr Bldg 6000
Mountain Home Afb, ID 83648
Phone
(208) 828-6806
Organisation at this address
Mt Home Refill Phcy
366th Medical Group Sgsl
366th Medgrp-Mountain Home
366th Medgrp-Mountain Home
Inferred from a shared address, not stated in the registry.
Clinicians at this address
90

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho