DR. Joe Roth Nielsen, M.D.

NPI #1992766885 in Bountiful, Utah

Provider Information

NPI Number: 1992766885
Entity Type: Individual
Name: DR. Joe Roth Nielsen, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Mar 30, 2006
Last Updated: Aug 10, 2010

Practice Location

Address: 415 MEDICAL DR
Address 2: #D-200
City: Bountiful
State: Utah
ZIP Code: 84010-4946
Phone: (801) 292-6277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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