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Organization

CAMP4 HUMAN PERFORMANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TYLER LEROY NELSON D.C. (PRESIDENT/PHYSICIAN)
(801) 878-7356
Entity
Organization

Contact information

Practice address
1951 W 4700 S STE 2, TAYLORSVILLE, UT 84129-1108
(801) 878-7356
(801) 878-7436
Mailing address
1951 W 4700 S STE 2, TAYLORSVILLE, UT 84129-1108
(801) 878-7356
(801) 878-7436

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary

Other

Enumeration date
06/26/2014
Last updated
06/26/2014
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