| Stephanie L Olsen, MD | |
|
444 W Bourne Cir Ste 200, Farmington, UT 84025 | |
| (801) 776-0174 | |
| (801) 825-3904 |
| Full Name | Stephanie L Olsen |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 444 W Bourne Cir Ste 200, Farmington, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396730404 | NPI | - | NPPES |
| 1477643179 | Other | UT | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 175506-1205 (Utah) | Primary |
| Entity Name | Utah Cardiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477643179 PECOS PAC ID: 6507763950 Enrollment ID: O20031215000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie L Olsen, MD 444 W Bourne Cir Ste 200, Farmington, UT 84025-3657 Ph: (801) 397-3000 | Stephanie L Olsen, MD 444 W Bourne Cir Ste 200, Farmington, UT 84025 Ph: (801) 776-0174 |
Bhavananda T Reddy, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 444 W Bourne Cir Ste 200, Farmington, UT 84025 Phone: 801-776-0174 Fax: 801-825-3904 | |
Dr. Roja R Mulamalla, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 444 W Bourne Cir Ste 200, Farmington, UT 84025 Phone: 801-776-0174 Fax: 801-825-3904 | |
Christopher Y Kim, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 444 W Bourne Cir Ste 200, Farmington, UT 84025 Phone: 801-776-0176 Fax: 801-825-3904 | |
Chad B Mcbride, D.O Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 444 W Bourne Cir Ste 200, Farmington, UT 84025 Phone: 801-776-0174 Fax: 801-825-3904 | |
Daniel J Humiston, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 444 W Bourne Cir Ste 200, Farmington, UT 84025 Phone: 801-776-0174 Fax: 801-825-3904 | |
Sandeep Talwar, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 444 W Bourne Cir Ste 200, Farmington, UT 84025 Phone: 801-776-0174 Fax: 801-825-3904 |