Individual
BIRK J. OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N MARIO CAPECCHI DR RM 4S200, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
30 N MARIO CAPECCHI DR RM 4S200, SALT LAKE CITY, UT 84112
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
14170585-1205
UT
261QM1300X
Multi-Specialty Clinic/Center
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Other
Enumeration date
05/23/2022
Last updated
09/25/2024
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