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Organization

RUSSELL L NELSON, M.D. PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL L NELSON MD (PRESIDENT)
(801) 747-1020
Entity
Organization

Contact information

Practice address
5323 S WOODROW ST STE 200, MURRAY, UT 84107-5844
(801) 747-1020
(801) 747-1023
Mailing address
5323 S WOODROW ST STE 200, MURRAY, UT 84107-5844
(801) 747-1020
(801) 747-1023

Taxonomy

Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
5646209-1205
UT

Other

Enumeration date
02/04/2013
Last updated
02/04/2013
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