Organization
JOE R NIELSEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE R NIELSEN MD (PRESIDENT)
(801) 292-6277
Entity
Organization
Contact information
Practice address
415 MEDICAL DR, D-200, BOUNTIFUL, UT 84010-4946
(801) 292-6277
(801) 292-1108
Mailing address
415 MEDICAL DR, D-200, BOUNTIFUL, UT 84010-4946
(801) 292-6277
(801) 292-1108
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
178171-1205
UT
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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