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Individual

ADAM D OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3222
CO
363AM0700X
Medical Physician Assistant
Primary
PA.0003222
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
46981365
CO
Enumeration date
08/16/2011
Last updated
10/18/2018
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