Individual
DR. WILLIAM E NIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5131 COTTONWOOD ST, L-2, MURRAY, UT 84107-5701
(801) 263-3416
(801) 263-3428
Mailing address
1121 E 3900 S, SUITE C-240, SALT LAKE CITY, UT 84124-1214
(801) 266-0878
(801) 266-2074
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
187952-1205
UT
207RX0202X
Medical Oncology Physician
Primary
187952-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107005824101
SELECT HEALTH
UT
01
—
830005762
RAILROAD MEDICARE
UT
05
—
D1964
—
UT
Enumeration date
05/10/2006
Last updated
10/10/2016
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