Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 1671 | SD |
N | 207U00000X | Nuclear Medicine Specialist | 23078 | NE |
N | 207U00000X | Nuclear Medicine Specialist | 23157 | IA |
N | 207U00000X | Nuclear Medicine Specialist | 40507 | MN |
NPI | 1629077433 |
---|---|
Provider Name | Dr. Steven P Olson |
First Address | Sioux Falls, SD 57105-1019 |
Second Address | Sioux Falls, SD 57105-1019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 25/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
220008590 | (02) | SD |
D25518 | (02) |