Provider Demographics
NPI:1457434128
Name:OLSEN, STEVEN DUANE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DUANE
Last Name:OLSEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:723 WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3734
Mailing Address - Country:US
Mailing Address - Phone:925-937-4299
Mailing Address - Fax:925-937-4299
Practice Address - Street 1:723 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3734
Practice Address - Country:US
Practice Address - Phone:925-937-4299
Practice Address - Fax:925-937-4299
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG26828207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine