Whalio Doctors

NPI 1164965570

Olympus Valley Surgical Assoicates PLLC

Organisation Surgery Physician Salt Lake City, UT

Practice location

Address
1220 E 3900 S STE 4e, Salt Lake City, UT 84124-1343
Phone
(973) 251-1132
Mailing address
PO Box 99130, Las Vegas, NV 89193-9130

Authorised official

Name
Karen Marie Vaughn
Title
Officer
Phone
(973) 251-1132

Registered specialties (4)

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X
Trauma Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0127X
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Registry record

NPI
1164965570
Entity type
Organization
NPI issued
2 Dec 2016
Record last updated
16 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.