Individual
COURTNEY RICK NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1580 W ANTELOPE DR, SUITE 200, LAYTON, UT 84041-1160
(801) 773-4770
Mailing address
1580 W ANTELOPE DR, STE 200, LAYTON, UT 84041-1200
(801) 773-4770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8237543-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205915410
—
UT
Enumeration date
11/06/2006
Last updated
01/30/2017
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