Individual
PHILLIP G OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5770 S 250 E, #170, MURRAY, UT 84107-8100
(801) 314-4266
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 314-4266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
881784671205
UT
Other
Enumeration date
08/31/2006
Last updated
10/22/2007
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