Individual
MATTHEW OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
560 N CAMINO MERCADO STE 7, CASA GRANDE, AZ 85122-5759
(520) 836-5538
(844) 772-0049
Mailing address
560 N CAMINO MERCADO STE 7, CASA GRANDE, AZ 85122-5759
(520) 836-5538
(844) 772-0049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9886
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207528
—
AZ
Enumeration date
12/09/2022
Last updated
06/25/2024
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