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Gary L Olaveson, DC
Chiropractor in Idaho Falls, Idaho
NPI 1336163476

Gary L Olaveson is a Chiropractor based in Idaho Falls, ID. Gary L Olaveson practices in Idaho Falls, ID and has the professional credentials of DC. The NPI Number for Gary L Olaveson is 1336163476 and holds a License No. CHIA871 (Idaho).

The current practice location address for Gary L Olaveson is 657 S Woodruff Ave, Idaho Falls, ID and can be reached out via phone at 208-552-9886 and via fax at 208-552-9843.

Location: 657 S Woodruff Ave, Idaho Falls, ID, 83401-5596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336163476
Provider Name
Gary L Olaveson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
657 S Woodruff Ave, Idaho Falls, ID, 83401-5596
Phone Number
208-552-9886
Fax Number
208-552-9843
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010025345 01 ID BLUE SHIELD
C4546 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
657 S Woodruff Ave
City
Idaho Falls
State
Idaho
Zip
83401-5596
Phone Number
208-552-9886
Fax Number
208-552-9843
person
Provider Business Mailing Address Details
Address
657 S Woodruff Ave
City
Idaho Falls
State
Idaho
Zip
83401-5596
Phone Number
208-552-9886
Fax Number
208-552-9843
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIA871 (Idaho)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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