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NPI Code Detail

MEDICARE: DR. ADAM RICHARD OLSSON MD

MEDICARE: DR. ADAM RICHARD OLSSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianA101269CA
2207L00000XAnesthesiology PhysicianMD60321448WA
3208VP0000XPain Medicine Physician75662TN
4208VP0000XPain Medicine PhysicianMD60321448WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073701173
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM RICHARD OLSSON MD
Provider Business Mailing Address
First Line : 101 MED TECH PKWY STE 200
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-4001
Country : US
Telephone Number : 423-232-6120
Fax Number : 833-450-6025
Provider Business Practice Location Address
First Line : 101 MED TECH PKWY STE 200
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-4001
Country : US
Telephone Number : 423-232-6120
Fax Number : 833-450-6025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2007
Last Update Date : 02/09/2026

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Directions to “ DR. ADAM RICHARD OLSSON MD” Practice Location

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