Dr Renee Olesen, MD | |
8822 Redwood Rd, C-211, West Jordan, UT 84088-9336 | |
(801) 563-1975 | |
(801) 563-1984 |
Full Name | Dr Renee Olesen |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 8822 Redwood Rd, West Jordan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578786851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 5326002 1205 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
---|---|
Dr Renee Olesen, MD 8822 Redwood Rd, C-211, West Jordan, UT 84088-9336 Ph: (801) 563-1975 | Dr Renee Olesen, MD 8822 Redwood Rd, C-211, West Jordan, UT 84088-9336 Ph: (801) 563-1975 |
Dr. Kevin B Lash, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9071 S 1300 W, #301, West Jordan, UT 84088 Phone: 801-565-1162 Fax: 801-565-1168 | |
Mr. Joseph L Kingston, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 6933 S 1300 W, West Jordan, UT 84084 Phone: 801-327-8707 Fax: 801-748-0423 | |
Dr. Joshua Brent Maxwell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8822 S Redwood Rd Ste C211, West Jordan, UT 84088 Phone: 801-563-1975 | |
Dr. Leslie L Goodwin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9071 S 1300 W, #301, West Jordan, UT 84088 Phone: 801-565-1162 Fax: 801-565-1168 | |
Dr. Darin G Bosworth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9071 S 1300 W, #301, West Jordan, UT 84088 Phone: 801-565-1162 Fax: 801-565-1168 | |
Dr. Holly Molberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8822 Redwood Rd, C-211, West Jordan, UT 84088 Phone: 801-563-1975 Fax: 801-563-1984 | |
Dr. Pari Mashkuri, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8822 Redwood Rd, C-211, West Jordan, UT 84088 Phone: 801-563-1975 Fax: 801-563-1984 |