MEDICARE: DR. MARIE LOUISE OLSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	23709	AZ
2	208M00000X	Hospitalist Physician	23709	AZ
3	207P00000X	Emergency Medicine Physician	23709	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	338477	OTHER	AZ	AHCCCS
3	930087721	OTHER		RAILROAD MCR

General Provider Information

NPI Number	:	1386726313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIE LOUISE OLSON MD

Provider Business Mailing Address
First Line	:	2701 E ELVIRA RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85756-7124
Country	:	US
Telephone Number	:	520-626-6614
Fax Number	:	520-626-2883

Provider Business Practice Location Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:	UNIVERSITY OF ARIZONA MEDICAL CENTER
City	:	TUCSON
State	:	AZ
Zip	:	85724-5073
Country	:	US
Telephone Number	:	520-626-6614
Fax Number	:	520-626-2883

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	04/18/2025

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Directions to “ DR. MARIE LOUISE OLSON MD” Practice Location

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