Individual
HENRY STEPHEN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 N 400 W, OREM, UT 84057-1913
(801) 714-3200
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 714-3200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5005411205
UT
Other
Enumeration date
08/16/2006
Last updated
06/15/2010
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