Healthcare Provider Details

I. General information

NPI: 1730163858
Provider Name (Legal Business Name): AARON K OLSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 06/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DRIVE UNIVERSITY OF IOWA HOSPITALS & CLINICS
IOWA CITY IA
52242-1082
US

IV. Provider business mailing address

200 HAWKINS DRIVE UNIVERSITY OF IOWA HOSPITALS & CLINICS
IOWA CITY IA
52242-1082
US

V. Phone/Fax

Practice location:
  • Phone: 319-353-6849
  • Fax: 319-356-4693
Mailing address:
  • Phone: 319-353-6849
  • Fax: 319-356-4693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number34615
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: