Organization
ROBERT E. NAKKEN M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EUGENE NAKKEN M.D. (OWNER/OPERATOR)
(435) 586-6962
Entity
Organization
Contact information
Practice address
166 W 1325 N STE 150, CEDAR CITY, UT 84721-7797
(435) 586-6962
Mailing address
166 W 1325 N STE 150, CEDAR CITY, UT 84721-7797
(435) 586-6962
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
362925-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52837347801001
—
UT
Enumeration date
10/22/2009
Last updated
10/22/2009
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