# MARK H OLSEN DPM PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922413657
- **Authorized official:** MRS. DEBBIE J SOTA (OFFICE MANAGER)
- **Authorized official phone:** (623) 234-8131

## Contact information

- **Practice address:** 220 N STAPLEY DR, \#1, MESA, AZ 85203-8057
- **Practice address phone:** (623) 234-8131
- **Practice address fax:** (623) 234-8147
- **Mailing address:** 220 N STAPLEY DR, \#1, MESA, AZ 85203-8057
- **Mailing address phone:** (623) 234-8131
- **Mailing address fax:** (623) 234-8147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0762 | AZ | Yes |

## Other

- **Enumeration date:** 06/20/2014
- **Last updated:** 06/20/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 819643 | — | AZ |