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Contact Information

RANDALL V OLSEN, MD
1600 E BROADWAY
COLUMBIA, MO65201-5844
 Phone: 573-815-8000
 Fax: 573-815-6343
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Neuroimaging

2085D0003X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for RANDALL V OLSEN · (Male)

NPI # 1700875788
Status Active
Credentials MD
Entity Individual
Enumeration date 10/21/2005
Last updated 05/02/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2017004467
  • NV License # 11771
  • UT License # 6035963-1205
  • MO Medicaid 1093702185
  • UT Medicaid 870487570004
  • Other 107044372101 IHC
  • UT Other 60359631200001 BX
  • UT Other 870487570RDS EMIA
Hospital affiliation(s)
  • BOONE HOSPITAL CENTER - (Acute Care)
    1600 E BROADWAY
    COLUMBIA, MO 65201
  • FITZGIBBON MEMORIAL HOSPITAL - (Acute Care)
    2305 S 65 HIGHWAY
    MARSHALL, MO 65340
  • MOBERLY REGIONAL MEDICAL CENTER - (Acute Care)
    1515 UNION AVE
    MOBERLY, MO 65270
  • PERSHING MEMORIAL HOSPITAL - (Critical Access)
    130 EAST LOCKLING
    BROOKFIELD, MO 64628
  • UNIVERSITY OF MISSOURI HEALTH CARE - (Acute Care)
    ONE HOSPITAL DRIVE, ROOM CE121, DC031,00
    COLUMBIA, MO 65212
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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