Individual
BRYCE DAVID OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 626-6053
Mailing address
4531 E HAMPTON AVE, MESA, AZ 85206-3366
(208) 360-3485
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R2501
AZ
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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