Organization
PHILLIP S. OLSEN, M.D., P.A.
Active
Organization
PHILLIP S. OLSEN, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP STANLEY OLSEN M.D. (PRESIDENT)
(316) 321-2100
Entity
Organization
Contact information
Practice address
700 W CENTRAL AVE, SUITE 201, EL DORADO, KS 67042-2184
(316) 321-2100
(316) 321-0270
Mailing address
700 W CENTRAL AVE, SUITE 201, EL DORADO, KS 67042-2184
(316) 321-2100
(316) 321-0270
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
N/A
KS
Enumeration date
07/19/2006
Last updated
08/22/2020
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