Provider Demographics
NPI:1225349442
Name:OLSON, PATRICK EUGENE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:EUGENE
Last Name:OLSON
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10395 BARRYWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-2214
Mailing Address - Country:US
Mailing Address - Phone:858-566-0897
Mailing Address - Fax:
Practice Address - Street 1:10395 BARRYWOOD WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-2214
Practice Address - Country:US
Practice Address - Phone:858-566-0897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG699262083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine