Individual
STEVEN BRANDON NICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
2121 N 1700 W, LAYTON, UT 84041-8803
(801) 773-4840
(801) 525-8151
Mailing address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-4100
(954) 262-3981
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
10260137-1204
UT
207N00000X
Dermatology Physician
UO3507
FL
Other
Enumeration date
02/06/2015
Last updated
07/21/2022
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