Individual
NELSON L ASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1477 N 2000 W, SUITE C, CLINTON, UT 84015-9099
(801) 774-8888
(801) 825-8519
Mailing address
1477 NORTH 2000 WEST, SUITE C, CLINTON, UT 84015-9099
(801) 774-8888
(801) 825-8519
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1717961205
UT
Other
Enumeration date
09/16/2006
Last updated
10/09/2012
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