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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

NPI # 1922297324
LBN Legal business name GORDON S OLSEN, DO PC
Authorized official GORDON OLSEN - (ORTHOPEDIC SURGEON)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2007
Last updated 05/07/2008 - About 18 years ago
Identifiers
UT Medicaid 520192386001
UT Other 932689281050 BLUE CROSS
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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