Dr. Jerold J. Olson
Facial Plastic Surgeon
7418 N La Cholla Blvd
Tucson
, Arizona 85741-2306
Dr. Jerold J. Olson
Facial Plastic Surgeon
7418 N La Cholla Blvd
Tucson
, Arizona 85741-2306
(520) 577-9783
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jerold J. Olson
- Po Box 64307
- Tucson, AZ
- Zip : 85728-4307
- Phone : (520) 577-9783
Second Address
- Dr. Jerold J. Olson
- 7418 N La Cholla Blvd
- Tucson, AZ
- Zip : 85741-2306
- Fax : (520) 731-6582
- Phone : (520) 731-1110
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 23526 | AZ |
National Provider Identifier
| NPI | 1881745354 |
|---|---|
| Provider Name | Dr. Jerold J. Olson |
| First Address | Tucson, AZ 85728-4307 |
| Second Address | Tucson, AZ 85741-2306 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/01/2007 |
| Last Update Date | 22/08/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0004337570 | AETNA (01) | AZ |
| 1Z6468 | HEALTHNET (01) | AZ |
| 322206001 | APIPA (01) | AZ |
| 32220602 | HEALTHCHOICE (01) | AZ |
| 470895687 | UNITED HEALTH CARE (01) | AZ |
| 47089568700 | PACIFICARE (01) | AZ |
| 470895687-00 | INDIAN HEALTH (01) | AZ |
| 47089568785718A001 | TRICARE (01) | AZ |
| AZ0724550 | BCBS (01) | AZ |
| E39481 | (02) | AZ |
| P00010045 | RR MEDICARE (01) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.