Individual
DR. DENNIS H OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9141 GRANT ST STE B40, THORNTON, CO 80229-4367
(303) 452-7700
Mailing address
1103 WOODLAND LANE, EVERGREEN, CO 80439-9732
(303) 439-7400
(303) 465-3543
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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