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Individual

BRYAN L NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
830 N 2000 W, PLEASANT GROVE, UT 84062-4047
(801) 756-3511
(801) 756-1705
Mailing address
275 W 200 N, LINDON, UT 84042-5009
(801) 769-1333

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA19440
CA
363A00000X
Physician Assistant
Primary
UT

Other

Enumeration date
12/12/2007
Last updated
07/11/2023
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