Steven R Nielson, PA

NPI #1184623217 in Provo, Utah

Provider Information

NPI Number: 1184623217
Entity Type: Individual
Name: Steven R Nielson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 20, 2005
Last Updated: Dec 29, 2010

Practice Location

Address: 280 WEST RIVER PARK DR
Address 2: SUITE 120
City: Provo
State: Utah
ZIP Code: 84604-5764
Phone: (801) 229-2011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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