Individual
MR. CHANCE A OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-3361
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-3361
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA2025-0009
NM
367H00000X
Anesthesiologist Assistant
Primary
PENDING
MO
Other
Enumeration date
11/07/2024
Last updated
06/01/2026
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