Gary Olsen

NPI 1023448859 - Clinic/Center - 261Q00000X

NPI Details
NPI 1023448859
Enumeration Date 11/14/2013
Last Updated 11/14/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name GARY P GARY
Position DIRECTOR
Phone (520) 449-2128
Fax
Practice Location
2450 E SPEEDWAY BLVD STE 6
TUCSON AZ, 85719-4748, US
Phone (520) 449-2128
Fax
Business Location
2450 E SPEEDWAY BLVD STE 6
TUCSON AZ, 85719-4748, US
Phone (520) 449-2128
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Arizona
License Number MT-08525
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According to our database, Gary Olsen NPI is 1023448859, taxonomy code is 261Q00000X and license number is MT-08525, license state is located at Arizona. Gary Olsen physically located at 2450 E Speedway Blvd Ste 6, Tucson AZ, 85719-4748. NPI Number 1033115704 has the healthcare provider type.

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1023448859 NPI number is provided on an as is basis without warranty of any kind. 1023448859 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Olsen are for informational purposes only.