Organization
OLYMPUS MEDICAL
Active
Other names
Olympus Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONYA GILLIAM (BILLING DIRECTOR)
(972) 632-6877
Entity
Organization
Contact information
Practice address
279 SUNRISE DR, ALPINE, UT 84004-1563
(801) 430-0282
Mailing address
279 SUNRISE DR, ALPINE, UT 84004-1563
(801) 430-0282
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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