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Dr. Joe Roth Nielsen, MD
Specialist in Bountiful, Utah
NPI 1992766885

Joe Roth Nielsen is a Specialist based in Bountiful, UT. Joe Roth Nielsen practices in Bountiful, UT and has the professional credentials of MD. The NPI Number for Joe Roth Nielsen is 1992766885 and holds a License No. 178171-1205 (Utah).

The current practice location address for Joe Roth Nielsen is 415 Medical Dr, Bountiful, UT and can be reached out via phone at 801-292-6277 and via fax at 801-292-1108.

Location: 415 Medical Dr, Bountiful, UT, 84010-4946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992766885
Provider Name
Joe Roth Nielsen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
415 Medical Dr, Bountiful, UT, 84010-4946
Phone Number
801-292-6277
Fax Number
801-292-1108
Provider Enumeration Date
03/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
415 Medical Dr
City
Bountiful
State
Utah
Zip
84010-4946
Phone Number
801-292-6277
Fax Number
801-292-1108
person
Provider Business Mailing Address Details
Address
415 Medical Dr
City
Bountiful
State
Utah
Zip
84010-4946
Phone Number
801-292-6277
Fax Number
801-292-1108
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
178171-1205 (Utah)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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