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MR. JOSHUA HINCKLEY NIELSON DO

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1699776922

Individual Registrant:
MR. JOSHUA HINCKLEY NIELSON DO
Gender: M
Not Sole Proprietor

Location and contact information for practice:
EAST HIGHWAY 262  MONTEZUMA CREEK, UT 84534-0130 US
Tel: 435-651-3700  Fax: 435-651-3376

Contact information for business:
PO BOX 130  MONTEZUMA CREEK, UT 84534-0130 US
Tel: 435-651-3700  Fax: 435-651-3376

Registration Information:
NPI: 1699776922
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
UT6681743-1204

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
03877361NM05
17532353CO05
314499AZ05




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