| Olivier Mutah Mulyangote, PA | |
|
3195 S Main St, Suite 200, Salt Lake City, UT 84115-3749 | |
| (801) 468-0354 | |
| (801) 468-0353 |
| Full Name | Olivier Mutah Mulyangote |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 3195 S Main St, Salt Lake City, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215262944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 74589851206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Utah Hospitals And Clinics | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Utah Community Physicians Group | 9739403569 | 255 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivier Mutah Mulyangote, PA 3195 S Main St, Suite 200, Salt Lake City, UT 84115-3749 Ph: (801) 468-0354 | Olivier Mutah Mulyangote, PA 3195 S Main St, Suite 200, Salt Lake City, UT 84115-3749 Ph: (801) 468-0354 |
Staci Lee Gunter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-6908 | |
Mckie Alan Delahunty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4000 S 700 E Ste 10, Salt Lake City, UT 84107 Phone: 801-268-4141 | |
Mr. David Joe Keahey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 461 S 400 E, Salt Lake City, UT 84111 Phone: 801-539-8634 | |
Mr. David Scott Archibald, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565 | |
Jonathan Middlemiss, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1220 E 3900 S Ste 4a, Salt Lake City, UT 84124 Phone: 801-261-8507 Fax: 801-261-8511 | |
Kaydon J Lloyd, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-268-7111 | |
Quinton Allred, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Salt Lake City, UT 84132 Phone: 801-581-7822 |