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Individual
DEVON A NELSON
Active
Individual
DEVON A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1570391205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09-00408
UTAH HEALTHCARE
UT
01
—
107006216103
IHC
UT
01
—
200045121
PALMETTO
UT
01
—
35973
DMBA
UT
01
—
68076
PEHP
UT
05
—
870281028000
—
UT
01
—
870281028DEV
EMIA
UT
01
—
QM000056634
ALTIUS
UT
Enumeration date
09/06/2006
Last updated
08/29/2016
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