Individual
CLINTON D. OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, NP-C
Contact information
Practice address
280 W RIVER PARK DR, SUITE 200, PROVO, UT 84604-5793
(801) 223-4860
(801) 371-8993
Mailing address
280 RIVER PARK DR, SUITE 200, PROVO, UT 84604-5764
(801) 223-4860
(801) 371-8993
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
66883094405
UT
207LP2900X
Pain Medicine (Anesthesiology) Physician
66883098900
UT
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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