JAMES BRIAN OLACK M.D. NPI 1669686135

NPI Information

James Brian Olack, M.D. is a plastic and reconstructive surgery surgery in Show Low, AZ with 21 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. James Brian Olack, M.D. NPI is 1669686135. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

2450 E SHOW LOW LAKE RD
SUITE 2A
SHOW LOW, AZ
ZIP 85901-953
Phone: (928) 537-6767
Fax: (928) 537-0299

The NPI 1669686135 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 6/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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