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Theodore Olson, MD
Specialist in Santa Rosa, California
NPI 1417041591

Theodore Olson is a Specialist based in E Palo Alto, CA. Theodore Olson practices in Santa Rosa, CA and has the professional credentials of MD. The NPI Number for Theodore Olson is 1417041591 and holds a License No. A212232 (California).

The current practice location address for Theodore Olson is 196 Sotoyome St, Santa Rosa, CA and can be reached out via phone at 707-528-0565 and via fax at 707-528-6403.

Location: 196 Sotoyome St, Santa Rosa, CA, 94303-2212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417041591
Provider Name
Theodore Olson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
196 Sotoyome St, Santa Rosa, CA, 94303-2212
Phone Number
707-528-0565
Fax Number
707-528-6403
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
196 Sotoyome St
City
Santa Rosa
State
California
Zip
95405-4800
Phone Number
707-528-0565
Fax Number
707-528-6403
person
Provider Business Mailing Address Details
Address
196 Sotoyome St
City
Santa Rosa
State
California
Zip
95405-4800
Phone Number
707-528-0565
Fax Number
707-528-6403
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A212232 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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