Individual
DR. KARL D NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4328
(801) 344-4225
Mailing address
PO BOX 270, PROVO, UT 84603-0270
(801) 344-4328
(801) 344-4225
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
180353 1205
UT
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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