MR. GARY NELSON, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1629035795
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 105991-1206 (UT) |
Frequently Asked Questions
NPI 1629035795 is the National Provider Identifier for MR. GARY NELSON, PA-C, a Physician Assistant - Medical provider located in Provo, UT. This NPI was enumerated on May 1, 2006.
MR. GARY NELSON, PA-C practices at 150 E CENTER ST, SUITE 1100, Provo, UT 84606.
Quick Facts
- NPI
- 1629035795
- Type
- Individual
- Enumerated
- May 1, 2006
- Last Updated
- Jan 2, 2013
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