Individual
DR. MARK F OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
212 W MONROE AVE STE B, LOWELL, AR 72745-9451
(479) 770-4100
(479) 770-0262
Mailing address
212 W MONROE AVE STE B, LOWELL, AR 72745-9451
(479) 770-4100
(479) 770-0262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C6864
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731687260
FED TAX ID
AR
Enumeration date
08/05/2006
Last updated
01/09/2013
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