| Dr Jonathan Ashton Olsen, DO | |
|
11724 S State St, Draper, UT 84020-7163 | |
| (801) 576-2000 | |
| Not Available |
| Full Name | Dr Jonathan Ashton Olsen |
|---|---|
| Gender | Male |
| Speciality | Allergy/immunology |
| Experience | 15 Years |
| Location | 11724 S State St, Draper, 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 |
|---|---|---|---|
| 1518287846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 5607852-1204 (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 |
|---|---|---|
| U-u Pediatric Dermatology | 8729049002 | 2 |
| Dermatology Division University Of Utah Medical Center | 9638073497 | 69 |
| Entity Name | Granger Medical Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
| Entity Name | Dermatology Division University Of Utah Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922096114 PECOS PAC ID: 9638073497 Enrollment ID: O20031122000107 |
| Entity Name | U-u Pediatric Dermatology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235339193 PECOS PAC ID: 8729049002 Enrollment ID: O20041020000616 |
| Entity Name | Granger Medical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Ashton Olsen, DO 7181 S Campus View Dr Ste 200, West Jordan, UT 84084-4312 Ph: (801) 965-3505 | Dr Jonathan Ashton Olsen, DO 11724 S State St, Draper, UT 84020-7163 Ph: (801) 576-2000 |
Dr. Duane Jones Harris, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 12422 S 450 E, Ste C, Draper, UT 84020 Phone: 801-553-1900 Fax: 801-553-9995 |