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Organization

OLYMPUS FAMILY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JARED PROBST MD (PRESIDENT)
(801) 277-2682
Entity
Organization

Contact information

Practice address
4624 S HOLLADAY BLVD STE 100, SALT LAKE CITY, UT 84117-7054
(801) 277-2682
Mailing address
4624 S HOLLADAY BLVD STE 100, SALT LAKE CITY, UT 84117-7054
(801) 277-2682

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
98642974405
UT

Other

Enumeration date
07/20/2016
Last updated
07/20/2016
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