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Gordon S Olsen Do Pc
Prosthetic/Orthotic Supplier in Evanston, Wyoming
NPI 1669505004

Gordon S Olsen Do Pc is a Prosthetic/Orthotic Supplier based in Heber City, WY. Gordon S Olsen Do Pc practices in Evanston, WY. The NPI Number for Gordon S Olsen Do Pc is 1669505004 and holds a License No. (Wyoming).

The current practice location address for Gordon S Olsen Do Pc is 170 Arrowhead Drive, Evanston, WY and can be reached out via phone at 307-789-0096 and via fax at 307-789-0860.

Location: 170 Arrowhead Drive, Evanston, WY, 84032-0796
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669505004
Provider Name
Gordon S Olsen Do Pc
Credential
Provider Entity Type
Organization
Address
170 Arrowhead Drive, Evanston, WY, 84032-0796
Phone Number
307-789-0096
Fax Number
307-789-0860
Provider Enumeration Date
03/14/2007
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00593001 01 WY BCBS
122536700 05 WY
institution
Provider Business Practice Location Address Details
Address
170 Arrowhead Drive
City
Evanston
State
Wyoming
Zip
82930-9266
Phone Number
307-789-0096
Fax Number
307-789-0860
person
Provider Business Mailing Address Details
Address
170 Arrowhead Drive
City
Evanston
State
Wyoming
Zip
82930-9266
Phone Number
307-789-0096
Fax Number
307-789-0860
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
(Wyoming)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Wyoming)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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