Individual
MICHAEL RAY NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
380 W. 100 NORTH, MONTICELLO, UT 84535
(435) 587-2116
Mailing address
380 W. 100 NORTH, MONTICELLO, UT 84535
(435) 587-2116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9551857-1204
UT
Other
Enumeration date
06/24/2013
Last updated
11/01/2016
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