Provider Demographics
NPI:1851575062
Name:OLSON, DAVID P (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:P
Last Name:OLSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1804 E PAVILION PL
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-5795
Mailing Address - Country:US
Mailing Address - Phone:970-249-6670
Mailing Address - Fax:970-252-1372
Practice Address - Street 1:1804 E PAVILION PL
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-5795
Practice Address - Country:US
Practice Address - Phone:970-249-6670
Practice Address - Fax:970-252-1372
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2019-07-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35079489207Q00000X
CAG68393207Q00000X
CO23302207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine