Individual
BILL GLEN NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
360 E 4500 S, MURRAY, UT 84107-3992
(801) 884-7888
(801) 261-0607
Mailing address
360 E 4500 S, MURRAY, UT 84107-3992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5106323-1202
UT
Other
Enumeration date
05/20/2006
Last updated
10/28/2010
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