Caprice M. Olomon, MD

Individual provider Active NPI Diagnostic Radiology Physician · Fraser, CO

NPI 1710985197 · NPPES record last updated Apr 24, 2017

Key facts

NPI
1710985197
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
DR.0036449 (CO)
Practice address
181 County Rd 8035
Fraser, CO 80442
Phone
(970) 726-4072
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0036449COMDDiagnostic Radiology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DR.0036449 CO Yes

Addresses

Primary practice location

181 County Rd 8035
Fraser, CO 80442

Mailing address

PO Box 1795
Fraser, CO 80442-1795
Phone (970) 726-4072

Other providers in Fraser, CO

All providers in Fraser, CO · Diagnostic Radiology Physician in Colorado

Sources for this page

Verify at the official NPI Registry.