Individual
DR. ROSCOE S NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1159 E 200 N STE 300, AMERICAN FORK, UT 84003-2037
(801) 965-3600
Mailing address
2965 W 3500 S DEPT CODE902, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
13713178-1205
UT
208800000X
Urology Physician
27180
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467870
—
AZ
Enumeration date
12/07/2005
Last updated
10/28/2024
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