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Logan Nielson, PA-C
NPI 1184199648 · on the registry since 2018 · sole proprietor
Practice
- Address
- 382 N Overland Ave
Burley, ID 83318 - Phone
- (208) 678-6996
- Organisation at this address
- Urgent Care Of Idaho, Llc
River View Urgent Care & Medical Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 2392 Addison Ave E, Twin Falls, ID
- 133 W Avenue A, Jerome, ID
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho