Clinton D Olsen, DNP, NP-C | |
280 W River Park Dr, Suite 200, Provo, UT 84604-5793 | |
(801) 223-4860 | |
(801) 371-8993 |
Full Name | Clinton D Olsen |
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Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
Location | 280 W River Park Dr, Provo, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225387491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 66883094405 (Utah) | Primary |
207LP2900X | Anesthesiology - Pain Medicine | 66883098900 (Utah) | Secondary |
Entity Name | Spinal Interventions, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053336917 PECOS PAC ID: 3476513417 Enrollment ID: O20041014000518 |
Mailing Address | Practice Location Address |
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Clinton D Olsen, DNP, NP-C 280 River Park Dr, Suite 200, Provo, UT 84604-5764 Ph: (801) 223-4860 | Clinton D Olsen, DNP, NP-C 280 W River Park Dr, Suite 200, Provo, UT 84604-5793 Ph: (801) 223-4860 |
Dr. Daniel Rey Faber, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 280 River Park Dr, #200, Provo, UT 84604 Phone: 801-223-4860 Fax: 801-371-8993 | |
John B Zimmerman, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Phone: 801-507-5248 Fax: 801-733-5618 | |
David Groesbeck, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Phone: 801-507-5248 Fax: 801-733-5618 | |
Carl Thayne Wilson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Phone: 801-507-5248 Fax: 801-733-5618 | |
Mr. Matthew David Wagaman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 Fax: 770-701-6675 | |
Mitchell D Albrecht, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84004 Phone: 801-993-9582 Fax: 801-733-5618 | |
Mark Critchfield, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Phone: 801-507-5248 Fax: 801-733-5618 |