SearchNew Mexico208600000X

Ty Olson

NPI 1609365501 · on the registry since 2018

Practice

Address
Msc10 5610
Albuquerque, NM 81731
Phone
(505) 272-4161
Fax
(505) 272-2776
Clinicians at this address
15

Additional practice sites

  • 1701 W Charleston Blvd Ste 400, Las Vegas, NV

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico