Individual
THAD R NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1140 36TH ST, STE 165, OGDEN, UT 84403-2050
(801) 392-0075
(801) 392-0797
Mailing address
2096 N 2350 E, LAYTON, UT 84040-8056
(801) 821-3574
(801) 392-0797
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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