CASEY R NELSON

SALT LAKE CITY, UT
NPI1790827251
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  7331309-1206)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: GA  004935)
Enumeration Date2007-02-13
Last Update Date2010-09-01
Business Address
Mr. CASEY R NELSON Physician Assistant
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-1100
Phone number: 801-587-6340
Mailing Address
Mr. CASEY R NELSON Physician Assistant
PO BOX 3208
SALT LAKE CITY, UT 84110-3208
Phone number: 801-587-6340