MR. Casey R Nelson, PHYSICIAN ASSISTANT

NPI #1790827251 in Salt Lake City, Utah

Provider Information

NPI Number: 1790827251
Entity Type: Individual
Name: MR. Casey R Nelson, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Feb 13, 2007
Last Updated: Sep 1, 2010

Practice Location

Address: 50 N MEDICAL DR
City: Salt Lake City
State: Utah
ZIP Code: 84132-1100
Phone: (801) 587-6340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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