Provider Demographics
NPI:1700098928
Name:OLSON, ANNA M (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:OLSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:400 W 16TH ST
Mailing Address - Street 2:SOUTHERN CO EM ASSOCIATES, ATTN: MISTY ESPINOZA
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81003-2745
Mailing Address - Country:US
Mailing Address - Phone:719-584-4306
Mailing Address - Fax:719-595-7886
Practice Address - Street 1:400 W 16TH ST
Practice Address - Street 2:PARKVIEW MEDICAL CTR. EMERGENCY DEPARTMENT
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-2745
Practice Address - Country:US
Practice Address - Phone:719-584-4595
Practice Address - Fax:719-584-4861
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2009-02-26
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Provider Licenses
StateLicense IDTaxonomies
CO43537207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine