Individual
MARQUES SKOT NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2850 N 2000 W STE 101, FARR WEST, UT 84404-9230
(801) 528-5095
(801) 528-5094
Mailing address
1055 N. 500 W., ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1421541-1204
UT
207Q00000X
Family Medicine Physician
OT020864
PA
208D00000X
General Practice Physician
010846
AZ
390200000X
Student in an Organized Health Care Education/Training Program
R4167
AZ
Other
Enumeration date
06/04/2021
Last updated
06/20/2025
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