NPI 1164723482

Joe R Nielsen MD PC

Organisation Clinic/Center Bountiful, UT

Practice location

Address: 415 Medical Dr D-200, Bountiful, UT 84010-4946
Phone: (801) 292-6277
Fax: (801) 292-1108

Authorised official

Name: Joe R Nielsen
Title: President
Phone: (801) 292-6277

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 178171-1205 (UT)

Other Clinic/Center providers in Utah →

Registry record

NPI: 1164723482
Entity type: Organization
NPI issued: 3 Nov 2010
Record last updated: 3 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.