| Full Name | Olympus Medical |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 279 Sunrise Dr, Alpine, Utah |
| Authorized Official Name and Position | Tonya Gilliam (BILLING DIRECTOR) |
| Authorized Official Contact | 9726326877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympus Medical 279 Sunrise Dr Alpine UT 84004-1563 Ph: (801) 430-0282 | Olympus Medical 279 Sunrise Dr Alpine UT 84004-1563 Ph: (801) 430-0282 |
| NPI Number | 1770247470 |
|---|---|
| Provider Enumeration Date | 10/28/2021 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770247470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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