Doctor Name: | DR. TANDY GARTH OLSEN |
NPI Number: | 1861476921 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 6754213-1205 |
Business Practice Address: | 500 E 1400 North Logan, UT - 84341 |
Business Phone Number: | 4357161920 |
Business Fax Number: | |
Mailing Address: | 500 E 1400 North, LOGAN |
State: | UT |
Postal Code: | 84341 |
Phone Number: | 4357161920 |
Fax Number: | |
NPI Enumeration Date: | 12/02/2005 |
NPI Last Update Date: | 04/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 6754213-1205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |