# JAY TODD NILSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275639122
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 366647-1205 | UT | Yes |
| 207L00000X | Anesthesiology Physician | G-83928 | CA | — |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 01/27/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 107008628103 | IHC | UT |
| 01 | — | 190683600 | US DEPT OF LABOR | UT |
| 01 | — | 425650 | DESERET MUTUAL | UT |
| 01 | — | 66104 | PEHP | UT |
| 01 | — | 7151 | HEALTHY U | UT |
| 01 | — | 870666269JTN | EDUCATORS MUTUAL | UT |
| 01 | — | PRA02246 | MOLINA | UT |
| 01 | — | QM0000054865 | ALTIUS | UT |