Individual
KARL NEPHI OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
1360 S POTOMAC ST, AURORA, CO 80012-4505
(303) 337-5575
Mailing address
4100 W 38TH AVE, DENVER, CO 80212-1928
(303) 433-2565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1534
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49706217
—
CO
Enumeration date
11/26/2008
Last updated
06/07/2012
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