Justin S. Nielsen, PAC
NPI #1235443193 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1235443193
- Entity Type
- Individual
- Name
- Justin S. Nielsen, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Aug 3, 2010
- Last Updated
- Mar 17, 2017
Practice Location
- Address
- 2985 CORTEZ AVE
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7554
- Phone
- (208) 523-3373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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