Organization
JOSEPH NELSON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINA VIGIL (CREDENTIALING COORD.)
(800) 909-9220
Entity
Organization
Contact information
Practice address
2265 FILLMORE AVE, OGDEN, UT 84401
(800) 909-9220
(801) 610-6758
Mailing address
PO BOX 57567, MURRAY, UT 84157
(800) 909-9220
(801) 610-6758
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
11/13/2017
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