Doctor Name: | DENNIS H OLSON |
NPI Number: | 1841397254 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 16794 |
Business Practice Address: | 3655 Lutheran Pkwy Suite 402 Wheat Ridge, CO - 800336018 |
Business Phone Number: | 3034229600 |
Business Fax Number: | 3034221264 |
Mailing Address: | 3655 Lutheran Pkwy, Suite 402 WHEAT RIDGE |
State: | CO |
Postal Code: | 800336018 |
Phone Number: | 3034229600 |
Fax Number: | 3034221264 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 11/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 16794 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |