Individual
GLEN ISAAC OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4175 S. ALAMO AVE, TUCSON, AZ 85707
(301) 312-4573
Mailing address
4175 S ALAMO AVE, DAVIS MONTHAN AFB, AZ 85707-4402
(301) 312-4573
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
58768
AZ
Other
Enumeration date
03/08/2012
Last updated
02/09/2022
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