Tait Dell Olaveson in Idaho Falls - Surgery

Tait Dell Olaveson - NPI 1356518831

Tait Dell Olaveson is a Surgery in Idaho Falls, Idaho. Tait Dell Olaveson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Tait Dell Olaveson is 1356518831. The last update date is 2023-01-30.

Tait Dell Olaveson's current location address is 3200 Channing Way Ste 206, Idaho Falls, Idaho. You can contact this provider via phone number 2085292230 and fax number 2084536142. The mailing address for Tait Dell Olaveson is 3200 Channing Way Ste 206, Idaho Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Tait Dell Olaveson
Address 3200 Channing Way Ste 206, Idaho Falls, Idaho
Phone Number 2085292230
Fax Number 2084536142
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1356518831
Provider Enumeration Date 2008-05-13
Last Updated Date 2023-01-30

Provider Mailing Address Detail

Address 3200 Channing Way Ste 206
City Idaho Falls
State Idaho (ID)
Post Code 834047546
Phone Number 2085292230
Fax Number 2084536142

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 179881
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

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FAQs about Tait Dell Olaveson

What is the unique 10-digit identification code assigned to Tait Dell Olaveson by the Centers for Medicare & Medicaid Services?

The Tait Dell Olaveson has been issued the NPI (National Provider Identifier) 1356518831, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Tait Dell Olaveson's facilities are geographically located?

The facilities of Tait Dell Olaveson are physically situated at the following location: 3200 Channing Way Ste 206, Idaho Falls, ID, 834047546.

What is Tait Dell Olaveson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Tait Dell Olaveson is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1356518831 to Tait Dell Olaveson?

The Tait Dell Olaveson received its 1356518831 assignment from the Centers for Medicare & Medicaid Services on 2008-05-13.

As of what date were the details related to Tait Dell Olaveson most recently updated or revised?

The information pertaining to Tait Dell Olaveson, including its address, specialty, and other relevant details, was last updated or revised on 2023-01-30.

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