Individual
MR. GORDON S OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOPC
Contact information
Practice address
454 E MEDICAL WAY, HEBER CITY, UT 84032-1391
(435) 722-4691
(435) 722-9291
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2689281204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117765600
—
WY
Enumeration date
09/20/2006
Last updated
05/12/2025
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