Individual
STEVEN R NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
280 WEST RIVER PARK DR, SUITE 120, PROVO, UT 84604-5764
(801) 229-2011
(801) 224-0242
Mailing address
280 WEST RIVER PARK DR, SUITE 120, PROVO, UT 84604-5764
(801) 229-2011
(801) 224-0242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
106781-1206
UT
Other
Enumeration date
07/20/2005
Last updated
12/29/2010
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