Robert Ivan Wollenzien
Robert Ivan Wollenzien is a Physician Assistant in Salem, Utah. Qualified in 2018, 8 years ago. Practices with Revere Health PC, a 410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.
- Years since qualifying
- 8
- Licensed in
- UT
- In the registry since
- 2018
Practice location Address checks out
555 W Sr 164Salem, UT 84653
Phone: (801) 465-4813
Fax: (801) 812-5433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 10990701-1206 (UT) |
|---|
Record details
| NPI number | 1831674092 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2018 |
| Last updated in NPPES | November 27, 2023 |
| Certification date | April 17, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Revere Health Pc — 410 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Salem
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Tye Frank Johnson, PA
555 W Sr 164, Salem, UT 84653 · (801) 465-4896
-
Whitney McCoy
555 W Sr 164, Salem, UT 84653 · (801) 465-4896
-
Jonathan D Nelson, PA-C
555 W Sr 164, Salem, UT 84653 · (801) 465-4813
-
Mr. Chad Allen Parrish, PA
118 N Main St Ste B, Salem, UT 84653-5698 · (801) 477-9007
-
Robert Wright, PA-C
555 W Sr 164, Salem, UT 84653-8465 · (801) 465-4896