MARK F. OLSEN M.D. P.A. NPI 1871896373

NPI Information

MARK F. OLSEN M.D., P.A. is a primary care clinic center in Lowell, AR. MARK F. OLSEN M.D., P.A. NPI is 1871896373. The provider is registered as an organization entity type.
The provider Is Doing Business As Olsen Clinic.

The provider's business location address is:

212 W MONROE AVE STE B
LOWELL, AR
ZIP 72745-451
Phone: (479) 770-4100
Fax: (479) 770-0262

The provider's authorized official is Mark F Olsen .
The authorized official title is Office Manager and has the following contact phone number (479) 770-4100.

The CLIA number assigned to this NPI record is 04D1025987 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/6/2010 and was last updated on 5/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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