Individual
ANDREW DARRELL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4403 HARRISON BLVD STE 2400, OGDEN, UT 84403-3297
(801) 387-2750
Mailing address
5850 E STILL CIR # 3101, MESA, AZ 85206-3618
(801) 690-3905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11123974-1206
UT
Other
Enumeration date
07/11/2022
Last updated
11/30/2023
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