Individual
MATTHEW ROGER OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18444 N 25TH AVE, 210, PHOENIX, AZ 85023-1261
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE, 310, PHOENIX, AZ 85023-1261
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
006957
AZ
208600000X
Surgery Physician
5101018746
MI
Other
Enumeration date
03/23/2010
Last updated
09/16/2016
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