Individual
MARCUS BRADLY OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 W SOUTH ST, MORROW 125, WARRENSBURG, MO 64093
(660) 543-4256
Mailing address
108 W SOUTH ST, MORROW 125, WARRENSBURG, MO 64093
(660) 543-4256
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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