Organization
MARK F. OLSEN M.D., P.A.
Active
Other names
Olsen Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK F OLSEN M.D. (OFFICE MANAGER)
(479) 770-4100
Entity
Organization
Contact information
Practice address
212 W MONROE AVE STE B, LOWELL, AR 72745-9451
(479) 770-4100
(479) 770-0262
Mailing address
439 E REDBUD LN, FAYETTEVILLE, AR 72703-3959
(479) 770-4100
(479) 770-0262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
C6864
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5G789
MEDICARE PTAN
AR
Enumeration date
12/06/2010
Last updated
10/13/2022
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