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Individual

DR. GRANT C OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 RAMPART WAY, SUITE 200, DENVER, CO 80230-6406
(720) 858-7600
(720) 858-7605
Mailing address
1667 COLE BLVD, BLDG 19, SUITE 200, LAKEWOOD, CO 80401-3300
(303) 420-3131
(303) 420-1984

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27491
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01274919
CO
Enumeration date
01/31/2006
Last updated
12/19/2007
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