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General NPI Number Information
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NPI Number | 1255658126
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Entity Type | Individual
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Provider Name | CONNIE OLSON MD
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Gender | Female
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Dates
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Enumeration Date | 04/30/2010
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 8710 N THORNYDALE RD STE 160
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City | TUCSON
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State | AZ
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Zip | 85742-5037
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Country | US
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Telephone | 520-744-2900
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Fax | 520-744-3318
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Provider Business Mailing Address
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Address Line | 5055 E BROADWAY BLVD STE A100
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City | TUCSON
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State | AZ
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Zip | 85711-3629
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Country | US
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Telephone | 520-327-0460
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Fax | 520-795-0225
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD206410
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 53169
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License Number State | AZ
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