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Jacob Kirt Olson, MD
Student in an Organized Health Care Education/Training Program in Loma Linda, California
NPI 1225396237

Jacob Kirt Olson is a Student in an Organized Health Care Education/Training Program based in Indianapolis, CA. Jacob Kirt Olson practices in Loma Linda, CA and has the professional credentials of MD. The NPI Number for Jacob Kirt Olson is 1225396237 and holds a License No. 1225396237 (California).

The current practice location address for Jacob Kirt Olson is 11234 Anderson St, Loma Linda, CA and can be reached out via phone at 909-558-4289.

Location: 11234 Anderson St, Loma Linda, CA, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225396237
Provider Name
Jacob Kirt Olson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11234 Anderson St, Loma Linda, CA, 46219-4959
Phone Number
909-558-4289
Fax Number
Provider Enumeration Date
04/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-4289
Fax Number
person
Provider Business Mailing Address Details
Address
11234 Anderson St
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-4289
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
2086S0120X
License No.
()
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
1225396237 (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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