Individual
BARBORA DVORAKOVA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2000 S 900 E, SALT LAKE CITY, UT 84105-3208
(801) 464-7788
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 464-7788
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125059118
IL
208000000X
Pediatrics Physician
Primary
8957515-1204
UT
Other
Enumeration date
03/24/2011
Last updated
06/23/2016
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