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Individual
DR. WALTER NELSON
Active
Individual
DR. WALTER NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.,P.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
149169-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107000307101
SELECT CARE
UT
01
—
35281
DMBA
UT
01
—
870496123
CHICAGO LABORERS HEALTH
UT
01
—
870496123 001
CIGNA
UT
01
—
870496123 B96840
BLUE CROSS BLU SHIELD UT
UT
01
—
UT9999
MUTUAL OF OMAHA
UT
Enumeration date
12/12/2006
Last updated
06/12/2013
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