Individual
DR. NATHAN NUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N 300 W, SALT LAKE CITY, UT 84103-1215
(801) 463-7415
(801) 463-7341
Mailing address
333 N 300 W, SALT LAKE CITY, UT 84103-1215
(801) 463-7415
(801) 463-7341
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13778270-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
TRN33621
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13778270-1205
UTAH MEDICAL LICENSE
UT
01
—
13778270-8905
UTAH CONTROLLED SUBSTANCES LICENSE
UT
01
—
TRN33621
TRAINING LICENSE
FL
Enumeration date
06/28/2021
Last updated
06/20/2024
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