Individual
STEVEN ROBERT OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1317 N ELM ST, SUITE 1B, GREENSBORO, NC 27401-1023
(336) 274-9617
(336) 482-2177
Mailing address
1317 N. ELM STREET, SUITE 1B, GREENSBORO, NC 27401-1023
(336) 274-9617
(336) 482-2177
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
9300265
NC
2085R0202X
Diagnostic Radiology Physician
Primary
9300265
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1601586
UNITED HEALTHCARE
NC
01
—
300085680
RAILROAD MEDICARE
NC
01
—
64141
BLUE CROSS BLUE SHIELD
NC
01
—
73482
MEDCOST
NC
05
—
8964141
—
NC
Enumeration date
12/01/2005
Last updated
08/10/2012
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