Blaine Olsen, D.O

NPI 1922236454 · on the registry since 2009

Practice

Address: 1951 Bench Rd
Ste B
Pocatello, ID 83201
Phone: (208) 238-1000
Fax: (208) 238-0009
Organisation at this address: Dna With Tina Llc
Lily Pad Wellness, Llc
North Light Eyecare Pllc
Gate City Physical Therapy
Family Practice Group, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-12-17

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