Gordon S Olsen Do PC

NPI #1669505004 in Evanston, Wyoming

Provider Information

NPI Number: 1669505004
Entity Type: Organization
Organization Name: Gordon S Olsen Do PC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Mar 14, 2007
Last Updated: Mar 3, 2008

Practice Location

Address: 170 ARROWHEAD DRIVE
Address 2: SUITE 3
City: Evanston
State: Wyoming
ZIP Code: 82930-9266
Phone: (307) 789-0096

Authorized Official

Name: GORDON S OLSEN, D.O.
Title: ORTHOPEDIC SURGEON
Phone: (307) 789-0096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetic/Orthotic Supplier	335E00000X
Orthopaedic Surgery	207X00000X	Primary

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