Organization
OLYMPUS HEALTH MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN R JOHNSEN MD (OWNER/PHYSICIAN)
(801) 699-5945
Entity
Organization
Contact information
Practice address
3813 E OASIS CIR, MESA, AZ 85215-9796
(480) 242-0055
Mailing address
700 N CARR RD UNIT 247, PLAINFIELD, IN 46168-2906
(317) 654-1649
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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