Individual
BLAINE M OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1960 OGDEN ST, SUITE 460, DENVER, CO 80218-3666
(303) 318-2500
(303) 318-2575
Mailing address
500 ELDORADO BLVD, SUITE 6250, BROOMFIELD, CO 80021-3408
(303) 272-0751
(303) 318-2488
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40689
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60023236
—
CO
01
—
P01094996
RR MCR - ESJH
CO
Enumeration date
01/16/2007
Last updated
02/26/2013
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