Individual
MARK RICHARD OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 543-7271
Mailing address
1693 MISSOULA AVE, MISSOULA, MT 59802-3854
(406) 396-7559
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
NUR-RN-LIC-159752
MT
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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