Most Relevant Information
Provider Data
| NPI Number: | 1003293382 |
| Provider Name: | GARRICK ANDREW OLSEN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 129250 |
Most Important Dates
| Enumeration Date: | 05/06/2015 |
| Last Updated: | 12/14/2018 |
Provider Practice Location
1717 W COWLES ST
FAIRBANKS
AK
997015926
Practice Location Phone/Fax
| Phone: | 9074516682 |
| Fax: |
Provider Mailing Location
1717 W COWLES ST
FAIRBANKS
AK
997015926
Provider Mailing Phone/Fax
| Phone: | 9074516682 |
| Fax: |