Individual
ALEXANDER OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
975 CHAMBERS ST, SOUTH OGDEN, UT 84403-4591
(801) 387-6200
Mailing address
975 CHAMBERS ST, SOUTH OGDEN, UT 84403-4591
(801) 387-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12840180-1204
UT
Other
Enumeration date
06/11/2019
Last updated
07/12/2022
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