Individual
DR. JOHN CLARK NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 PARADISO LN, CENTERVILLE, UT 84014-2826
(801) 580-3523
Mailing address
330 PARADISO LN, CENTERVILLE, UT 84014-2826
(801) 580-3523
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
151881-1205
UT
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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