Organization
GULF SHORES FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIROSE C. OLSON M.D. (PRESIDENT)
(251) 968-1810
Entity
Organization
Contact information
Practice address
204 W 19TH AVE, GULF SHORES, AL 36542
(251) 968-1810
(251) 968-1817
Mailing address
P.O. BOX 1157, GULF SHORES, AL 36547
(251) 968-1810
(251) 968-1817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23373
AL
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9940808
—
AL
Enumeration date
01/05/2007
Last updated
04/02/2009
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