Individual
STEVEN WAYNE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
614 YALE PL, CANON CITY, CO 81212-4611
(719) 285-2700
(719) 285-2975
Mailing address
614 YALE PL, CANON CITY, CO 81212-4611
(719) 285-2700
(719) 285-2975
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53624
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85231860
—
CO
Enumeration date
04/26/2011
Last updated
05/16/2017
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