Individual
DR. JONATHAN ROBERT NICHOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
333 N 300 W, SALT LAKE CITY, UT 84103-1215
(801) 463-7415
Mailing address
333 N 300 W, SALT LAKE CITY, UT 84103-1215
(801) 463-7415
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
009150
AZ
207P00000X
Emergency Medicine Physician
20A16120
CA
Other
Enumeration date
08/28/2015
Last updated
07/06/2021
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