Individual
SCOTT FREDERIC OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3349 NIBLICK DR, PARK CITY, UT 84098-5889
(702) 521-6768
Mailing address
3349 NIBLICK DR, PARK CITY, UT 84098-5889
(702) 521-6768
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
185861-1205
UT
207L00000X
Anesthesiology Physician
6689
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019419
—
NV
Enumeration date
02/02/2006
Last updated
01/10/2013
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