Individual
DARREL W OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 N MAIN ST, EPHRAIM, UT 84627-1155
(435) 283-4076
(435) 283-4078
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 283-4076
(435) 283-4078
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1834321205
UT
Other
Enumeration date
06/03/2006
Last updated
06/15/2010
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