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Contact Information

GORDON S OLSEN DO PC
170 ARROWHEAD DRIVE
SUITE 3
EVANSTON, WY82930-9266
 Phone: 307-789-0096
 Fax: 307-789-0860
 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

NPI Number 1669505004
LBN Legal business name GORDON S OLSEN DO PC
Authorized official GORDON OLSEN - (ORTHOPEDIC SURGEON)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2007
Last updated 03/03/2008 - About 18 years ago
Identifiers
WY Medicaid 122536700
WY Other 00593001 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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