Individual
DR. JOE ROTH NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 MEDICAL DR, #D-200, BOUNTIFUL, UT 84010-4946
(801) 292-6277
(801) 292-1108
Mailing address
415 MEDICAL DR, #D-200, BOUNTIFUL, UT 84010-4946
(801) 292-6277
(801) 292-1108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
178171-1205
UT
Other
Enumeration date
03/30/2006
Last updated
08/10/2010
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