Individual
SAMUEL JORDAN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4301 W MARKHAM ST # 589, LITTLE ROCK, AR 72205-7101
(501) 526-8148
Mailing address
4301 W MARKHAM ST # 589, LITTLE ROCK, AR 72205-7101
(501) 526-8148
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E-11906
AR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2017
Last updated
10/07/2019
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