Individual
CAMERON SINCLAIR OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
315 S OSTEOPATHY AVE, KIRKSVILLE, MO 63501-6401
(801) 234-9790
Mailing address
2302 OAK LN, KIRKSVILLE, MO 63501-2146
(801) 234-9790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020018526
MO
207R00000X
Internal Medicine Physician
Primary
2021040341
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021040341
PHYSICIAN AND SURGEON LICENSE
MO
Enumeration date
07/08/2020
Last updated
12/08/2021
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