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Contact Information

GORDON S OLSEN, DO PC
1485 S HIGHWAY 40
HEBER CITY, UT84032-3522
 Phone: 435-654-6360
 Fax: 435-657-0294
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for GORDON S OLSEN DO PC · (Female)

NPI Number 1922297324
Status Active
Credentials
Entity Individual
Enumeration date 10/22/2007
Last updated 05/07/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT Medicaid 520192386001
  • UT Other 932689281050 BLUE CROSS
Hospital affiliation(s) Not Available
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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