Individual
BRIAN K OLENSLAGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3585 N UNIVERSITY AVE, STE 150, PROVO, UT 84604-6601
(801) 356-6100
(801) 356-2113
Mailing address
PO BOX 27688, SALT LAKE CITY, UT 84127-0688
(801) 534-1360
(801) 366-9883
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
311166-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31116612000001
BXBS
UT
Enumeration date
07/13/2005
Last updated
07/08/2007
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