Organization
PIONEER COMPREHENSIVE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN OLSEN (OFFICE MANAGER)
(801) 576-1086
Entity
Organization
Contact information
Practice address
12433 FORT ST, DRAPER, UT 84020-9363
(801) 576-1086
(801) 576-9796
Mailing address
12433 FORT ST, DRAPER, UT 84020-9363
(801) 576-1086
(801) 576-9796
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
891818251205
UT
363LF0000X
Family Nurse Practitioner
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Other
Enumeration date
11/09/2007
Last updated
01/02/2024
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