Olivier Mutah Mulyangote, P.A.

NPI #1215262944 in Salt Lake City, Utah

Provider Information

NPI Number: 1215262944
Entity Type: Individual
Name: Olivier Mutah Mulyangote, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Oct 14, 2009
Last Updated: May 2, 2023

Practice Location

Address: 3195 S MAIN ST
Address 2: SUITE 200
City: Salt Lake City
State: Utah
ZIP Code: 84115-3749
Phone: (801) 468-0354

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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