Individual
MR. JOSHUA HINCKLEY NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1478 EAST HIGHWAY 162, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3700
(435) 678-0707
Mailing address
PO BOX 130, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3700
(435) 651-3376
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6681743-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03877361
—
NM
05
—
17532353
—
CO
05
—
314499
—
AZ
Enumeration date
08/09/2005
Last updated
11/25/2024
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