Individual
BOOMER B. OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
HELIX 30 N MARIO CAPECCHI DRIVE RM 3N100, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
HELIX 30 N MARIO CAPECCHI DRIVE RM 3N100, SALT LAKE CITY, UT 84112
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13509658-1204
UT
208M00000X
Hospitalist Physician
Primary
13509658-1204
UT
Other
Enumeration date
03/27/2022
Last updated
04/16/2026
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