Individual
NICK CARL GREENWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 W BROADWAY, SUITE 820, SALT LAKE CITY, UT 84101-2002
(801) 716-4284
(801) 433-0691
Mailing address
PO BOX 1710, SALT LAKE CITY, UT 84110-1710
(801) 839-4334
(801) 665-6940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6942268-1205
UT
207QA0401X
Addiction Medicine (Family Medicine) Physician
6942268-1205
UT
Other
Enumeration date
04/25/2007
Last updated
08/13/2012
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