Organization
GORDON S OLSEN, DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON S. OLSEN D.O. (ORTHOPEDIC SURGEON)
(435) 654-6360
Entity
Organization
Contact information
Practice address
1485 S HIGHWAY 40, HEBER CITY, UT 84032-3522
(435) 654-6360
(435) 657-0294
Mailing address
PO BOX 796, HEBER CITY, UT 84032-0796
(435) 654-6360
(435) 654-0805
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
UT
335E00000X
Prosthetic/Orthotic Supplier
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
520192386001
—
UT
01
—
932689281050
BLUE CROSS
UT
Enumeration date
10/22/2007
Last updated
05/07/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up