Gordon S Olsen, Do Pc in Heber City - Prosthetic/orthotic Supplier

Gordon S Olsen, Do Pc - NPI 1922297324

Gordon S Olsen, Do Pc is a Prosthetic/orthotic Supplier in Heber City, Utah. Gordon S Olsen, Do Pc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Gordon S Olsen, Do Pc is 1922297324. The last update date is 2008-05-07.

Gordon S Olsen, Do Pc's current location address is Po Box 796, Heber City, Utah. You can contact this provider via phone number 4356546360 and fax number 4356540805. The mailing address for Gordon S Olsen, Do Pc is Po Box 796, Heber City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gordon S Olsen, Do Pc
Address Po Box 796, Heber City, Utah
Phone Number 4356546360
Fax Number 4356540805
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ORTHOPEDIC
Authorized Official Name Olsen S. Gordon
Credentials D.O.
Telephone Number 4356546360

NPI Number Detail

NPI Number 1922297324
Provider Enumeration Date 2007-10-22
Last Updated Date 2008-05-07

Provider Mailing Address Detail

Address Po Box 796
City Heber City
State Utah (UT)
Post Code 840320796
Phone Number 4356546360
Fax Number 4356540805

Provider's Primary Taxonomy Detail

Speciality Prosthetic/orthotic Supplier
Taxonomy 335E00000X
Definition:
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
520192386001 UT --
932689281050 UT BLUE CROSS

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FAQs about Gordon S Olsen, Do Pc

What is the unique provider identifier assigned to Gordon S Olsen, Do Pc?

The Gordon S Olsen, Do Pc has been issued the NPI (National Provider Identifier) 1922297324 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Gordon S Olsen, Do Pc?

The Gordon S Olsen, Do Pc is physically situated at Po Box 796, in the city of Heber City, state of UT, with the postal code 840320796.

What is the area of specialization for Gordon S Olsen, Do Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Gordon S Olsen, Do Pc is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this area of expertise is 335E00000X.

On what date did the Gordon S Olsen, Do Pc receive its 1922297324 assignment from the Centers for Medicare & Medicaid Services?

The Gordon S Olsen, Do Pc was assigned its 1922297324 by the Centers for Medicare & Medicaid Services on 2007-10-22.

As of what date was the information regarding Gordon S Olsen, Do Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gordon S Olsen, Do Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-07.

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