Individual
MR. GARY E NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
150 E CENTER ST, SUITE 1100, PROVO, UT 84606-3106
(801) 374-7011
(801) 374-7009
Mailing address
150 E CENTER ST, SUITE 1100, PROVO, UT 84606-3106
(801) 374-7011
(801) 374-7009
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
105991-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05664
—
UT
Enumeration date
05/01/2006
Last updated
01/02/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us