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Matthew Olsen, PA-C

Physician Assistant in Casa Grande, AZ. Individual provider (NPI-1).

NPI number1710698725
StatusActive
Last updated in NPPESJun 25, 2024

Details

NPI
1710698725
Entity type
Individual (NPI-1)
Name
Matthew Olsen
Credential
PA-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 9, 2022
Certification date
Jun 25, 2024
Last updated
Jun 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant9886AZYes

Practice location

560 N Camino Mercado Ste 7
Casa Grande, AZ 85122-5759

Phone 520-836-5538 · Fax 844-772-0049

Mailing address

560 N Camino Mercado Ste 7
Casa Grande, AZ 85122-5759

Phone 520-836-5538 · Fax 844-772-0049

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