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Search › Idaho › 363A00000X

Justin Nielsen, PAC

NPI 1235443193 · on the registry since 2010

Practice

Address
2985 Cortez Ave
Idaho Falls, ID 83404
Phone
(208) 523-3373
Fax
(208) 523-8746
Organisation at this address
Idaho Heart Institute Pc
Idaho Heart Physician Group Pllc
University Of Utah Adult Services
University Of Utah Pediatric Services
University Of Utah Pediatric Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
IA, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-03-17

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