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Individual

DOUGLAS C OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 289-4937
(804) 565-6600
Mailing address
1504 SANTA ROSA RD, 206, RICHMOND, VA 23229-5109
(804) 288-4453
(804) 288-1621

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024168558
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43318800
WI
Enumeration date
06/06/2006
Last updated
07/26/2011
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