# JOSEPH NELSON PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407369630
- **Authorized official:** ANGELINA VIGIL (CREDENTIALING COORD.)
- **Authorized official phone:** (800) 909-9220

## Contact information

- **Practice address:** 2265 FILLMORE AVE, OGDEN, UT 84401
- **Practice address phone:** (800) 909-9220
- **Practice address fax:** (801) 610-6758
- **Mailing address:** PO BOX 57567, MURRAY, UT 84157
- **Mailing address phone:** (800) 909-9220
- **Mailing address fax:** (801) 610-6758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2017
- **Last updated:** 11/13/2017
