NPI 1720210248

Dewaine Allen Olson

Practitioner Independent Duty Medical Technicians Peterson Afb, CO

Practice location

Address: 559 Vincent St, Peterson Afb, CO 80914
Phone: (719) 474-3862

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Colorado →

Registry record

NPI: 1720210248
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2009
Record last updated: 17 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.