Individual
BJORN A. NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
707 E MILL RD STE 303, VINEYARD, UT 84059-5730
(801) 224-1301
(801) 225-3236
Mailing address
707 E MILL RD STE 303, VINEYARD, UT 84059-5730
(801) 224-1300
(801) 224-1300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10191817-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A10118
LICENSE
CA
Enumeration date
05/13/2009
Last updated
12/13/2024
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