Provider Demographics
NPI:1902807852
Name:OLSEN, DAWN MARIE (DO)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:MARIE
Last Name:OLSEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:9192 W UNION HILLS DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-8208
Mailing Address - Country:US
Mailing Address - Phone:602-374-4101
Mailing Address - Fax:602-441-0522
Practice Address - Street 1:333 W THOMAS RD STE 208
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4425
Practice Address - Country:US
Practice Address - Phone:602-374-4101
Practice Address - Fax:602-441-0522
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2025-02-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ0073932086S0129X
AZ2292363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ284618Medicaid
AZWCSKQOtherSUN HEALTH GROUP # AHI
AZS84481Medicare UPIN
AZ499956Medicaid
AZP00253494OtherRAILROAD MEDICARE