Individual
DR. PETER CHRISTIAN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 10TH AVE, #100, SALT LAKE CITY, UT 84103-2853
(801) 408-8399
(801) 408-5152
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-8399
(801) 408-5152
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
49722151205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689709859
—
UT
Enumeration date
06/06/2006
Last updated
05/26/2011
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