Individual
MR. DONALD HARRY OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4171 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4591
(479) 443-6496
Mailing address
720 SUMMERS RD, SPRINGDALE, AR 72762-4341
(479) 248-4957
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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