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TAIT OLAVESON, D.O.

D.O.

Surgery Physician

NPI: 1356518831IndividualAccepts Medicare

Specialties, Licenses & Credentials

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician

Preventive Medicine — Undersea and Hyperbaric Medicine

Code: 2083P0011X

O-0726(ID)
Surgery PhysicianPrimary

Surgery

Code: 208600000X

13411C(WY)179881(AK)82499(GA)93936(MT)O-0726(ID)

CMS Specialties

PrimaryGENERAL SURGERY

Education

OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE

Class of 2007

Contact & Hours

Via practice · 2 locations total

Address
3200 CHANNING WAY STE 206
IDAHO FALLS, ID 83404

Locations (2)

Practice Location

3200 CHANNING WAY STE 206, IDAHO FALLS, ID
(208) 529-2230

Practice Location

3100 CHANNING WAY, IDAHO FALLS, ID
(706) 863-9595

Quick Facts

NPI
1356518831
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
6
Locations
2
Years in Practice
19

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