Zachary Olsen O.D.

NPI 1043625817 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1043625817
Gender Male
Enumeration Date 06/30/2014
Last Updated 08/20/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
1481 W 10TH ST
INDIANAPOLIS IN, 46202-2803, US
Phone (317) 554-0000
Fax
Business Location
1481 W 10TH ST
INDIANAPOLIS IN, 46202-2803, US
Phone (317) 554-0000
Fax
Toxanomy
Taxonomy Code 390200000X
License State South Carolina
License Number 1820
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According to our database, Zachary Olsen O.D. NPI is 1043625817, taxonomy code is 390200000X and license number is 1820, license state is located at South Carolina. Zachary Olsen O.D. physically located at 1481 W 10th St, Indianapolis IN, 46202-2803. NPI Number Zachary Olsen O.D. has the Individual type.

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1043625817 NPI number is provided on an as is basis without warranty of any kind. 1043625817 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Olsen O.D. are for informational purposes only.