NPI 1013703032
Roman Fox-Nikolaev
Practice location
- Address
- 2655 S Lake Erie Dr, West Valley City, UT 84120-7350
- Phone
- (385) 441-4900
- Mailing address
- 325 E 300 S APT 410, Salt Lake City, UT 84111-3231
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1013703032
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Apr 2025
- Record last updated
- 16 Apr 2025
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.