Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 44959 | CO |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | DR.0044959 | CO |
NPI | 1003997586 |
---|---|
Provider Name | Dr. Britt Dominique Olson |
First Address | Denver, CO 80247-1314 |
Second Address | Aurora, CO 80014-1622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
024399 | KAISER COMMERCIAL NUMBER (01) | CO |
32903839 | (05) | CO |
A82440 | (02) | CA |
I16574 | (02) | CO |