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Individual
RYAN WILLIAM NELSON
Active
Individual
RYAN WILLIAM NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5198130-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506347
—
NV
01
—
107037815101
IHC
UT
05
—
121125100
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
51981301200001
BLUE CROSS BLUE SHIELD
UT
05
—
807171300
—
ID
01
—
83768
PEHP
UT
01
—
84645
HEALTHY U
UT
01
—
870545614RYN
EDUCATORS MUTUAL
UT
01
—
902602
DESERET MUTUAL
UT
05
—
941387
—
AZ
01
—
QM0000075886
ALTIUS
UT
01
—
TPRA11411
MOLINA
UT
Enumeration date
08/04/2006
Last updated
10/15/2012
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