Individual provider · Type 1 NPI

Tait Dell Olaveson, DO

Surgery Physician · Idaho Falls, ID

NPI number 1356518831 Active

Practice location

3200 Channing Way Ste 206
Idaho Falls, ID 83404-7546

Fax (208) 453-6142

Mailing address

3200 Channing Way Ste A206
Idaho Falls, ID 83404-7586

Specialties and licenses

TaxonomyCodeLicense
Surgical Critical Care Physician 2086S0102XO-0726 (ID)
Surgery Physician Primary 208600000XO-0726 (ID)
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011XO-0726 (ID)

Surgery Physician: 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; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1356518831

Tait Dell Olaveson, DO's National Provider Identifier is 1356518831, issued on May 13, 2008. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 9, 2026.