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NPI Code Detail

MEDICARE: CRAIG B OLSON MD

MEDICARE: CRAIG B OLSON 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
12085R0001XRadiation Oncology PhysicianE3017AR

Other Identifiers

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

General Provider Information

NPI Number : 1295791556
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG B OLSON MD
Provider Business Mailing Address
First Line : PO BOX 1893
Second Line :
City : MOUNTAIN HOME
State : AR
Zip : 72654-1893
Country : US
Telephone Number : 870-424-7070
Fax Number : 870-424-6616
Provider Business Practice Location Address
First Line : 620 NORTH MAIN
Second Line :
City : HARRISON
State : AR
Zip : 72601-2911
Country : US
Telephone Number : 870-365-2244
Fax Number : 870-365-2438
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 09/14/2010

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