Individual provider · NPI-1

Alexander Olsen

Family Medicine · South Ogden, UT

NPI number1891354080
StatusActive
Last updated in NPPESJul 12, 2022

Details

NPI
1891354080
Entity type
Individual (NPI-1)
Name
Alexander Olsen
Sex
Male
Sole proprietor
No
Enumeration date
Jun 11, 2019
Certification date
Jul 12, 2022
Last updated
Jul 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine12840180-1204UTYes

Practice location

975 Chambers St
South Ogden, UT 84403-4591

Phone 801-387-6200

Mailing address

975 Chambers St
South Ogden, UT 84403-4591

Phone 801-387-6200

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