Individual provider · Type 1 NPI

Jacob Kirt Olson, MD

Student in an Organized Health Care Education/Training Program · Loma Linda, CA

NPI number 1225396237 Active

Practice location

11234 Anderson St, Gme Office Csp 21005
Loma Linda, CA 92354-2804

Mailing address

250 N Shadeland Ave Ofc
Indianapolis, IN 46219-4959

Other practice locations

  • 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 · (317) 944-4681

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician 2086S0120X1225396237 (IN)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1,299 other providers at this address

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About NPI 1225396237

Jacob Kirt Olson, MD's National Provider Identifier is 1225396237, issued on Apr 26, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Loma Linda, CA. The record was last updated on Aug 4, 2022.