Search › Utah › 207L00000X
Bradley Nielsen
NPI 1457359317 · on the registry since 2005
Practice
- Address
- 1954 Fort Union Blvd
Salt Lake City, UT 84121 - Phone
- (801) 993-9530
- Fax
- (801) 733-5618
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-11
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 Utah