Pioneer Injury Care

NPI #1114382033 in Draper, Utah

Provider Information

NPI Number: 1114382033
Entity Type: Organization
Organization Name: Pioneer Injury Care
Primary Specialty: Nurse Practitioner
Enumeration Date: Dec 18, 2015
Last Updated: Dec 18, 2015

Practice Location

Address: 12433 S FORT ST
City: Draper
State: Utah
ZIP Code: 84020-9363
Phone: (801) 576-1086

Authorized Official

Name: GARY OLSEN, D.C.
Title: OWNER
Phone: (801) 576-1086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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