Individual
ELIZABETH DEMOS NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5121 S. COTTONWOOD STREET, SALT LAKE CITY, UT 84157
(801) 269-2500
(801) 269-2690
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 269-2500
(801) 269-2690
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6623361-1205
UT
207P00000X
Emergency Medicine Physician
6623361-8905
UT
207P00000X
Emergency Medicine Physician
A86767
CA
Other
Enumeration date
07/07/2006
Last updated
05/24/2011
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