CODY NIELSON

DELTA, UT
NPI1609127885
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  8434517-1206)
Enumeration Date2012-09-27
Last Update Date2014-06-25
Business Address
-- CODY NIELSON PA-C
140 WHITE SAGE AVE
DELTA, UT 84624-8928
Phone number: 435-864-3333
Mailing Address
-- CODY NIELSON PA-C
1055 N 500 W
PROVO, UT 84604-3305
Phone number: 801-812-4673
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