Individual
DR. NATHAN PARKE OLAFSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12634 OLIVE BLVD, DEPT ORTHOPAEDIC SURGERY, SAINT LOUIS, MO 63141-6337
(314) 996-8099
(314) 996-8132
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 996-8099
(314) 996-8132
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2017016490
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200043385
—
MO
Enumeration date
04/11/2012
Last updated
04/17/2025
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