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Individual

NATHANIEL WALTER OSWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
395 W COUGAR BLVD STE 704, PROVO, UT 84604-3333
(866) 415-6556
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
14213554-1205
UT
208800000X
Urology Physician
390200000X
AZ
208800000X
Urology Physician
R78158
AZ

Other

Enumeration date
07/06/2020
Last updated
12/04/2025
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