Organization
OLYMPUS HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN R JOHNSEN M.D (OWNER/MANAGER)
(801) 809-4633
Entity
Organization
Contact information
Practice address
5296 COMMERCE DR, SUITE 206, SALT LAKE CITY, UT 84107-4767
(801) 809-4633
Mailing address
PO BOX 900292, SANDY, UT 84090-0292
(801) 809-4633
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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