Individual
DR. DENNIS H OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16794
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-167949
—
CO
01
—
1C4338
MEDICARE
CO
01
—
632901
CIGNA
CO
Enumeration date
09/20/2006
Last updated
12/28/2021
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