Organization
CHRISTIAN D NILSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN D NILSON MD (PRESIDENT)
(435) 752-2020
Entity
Organization
Contact information
Practice address
550 E 1400 N STE P, LOGAN, UT 84341-2450
(435) 752-2020
(435) 752-5475
Mailing address
550 E 1400 N, STE T, LOGAN, UT 84341-2406
(435) 752-2020
(435) 752-5475
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
69626121205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08111972
OWNERS DOB
UT
Enumeration date
07/25/2008
Last updated
08/26/2019
Update your record
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