NPI 1366481806

Douglas Brent Nielsen, MD

Practitioner Pediatrics Physician Bountiful, UT

Practice location

Address: 390 N Main St, Bountiful, UT 84010-6046
Phone: (801) 294-1080
Fax: (801) 292-8369
Mailing address: PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 1648271205 (UT)

Other Pediatrics providers in Utah →

Registry record

NPI: 1366481806
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2006
Record last updated: 26 Jun 2009

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.