Individual
EDWARD THOMAS NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-9700
Mailing address
PO BOX 571117, SLC, UT 84157-1117
(801) 507-9700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10714568-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2015
Last updated
02/18/2020
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