Individual
DR. CLINT REID NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
3226 DAVENCOURT CIR, LEHI, UT 84043-4544
(801) 361-3961
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
7148526-1205
UT
2084N0400X
Neurology Physician
7148526-1205
UT
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
7148526-1205
UT
Other
Enumeration date
10/30/2008
Last updated
11/30/2021
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