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Contact Information

NATHAN B ELIASON, MD
677 W 5300 S
MURRAY, UT84123-5671
 Phone: 801-327-8700
 Fax: 801-290-2847
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for NATHAN B ELIASON · (Male)

NPI Number 1073557583
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2006
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 3099134-1205
  • WY License # 7074A
  • UT Medicaid PENDING
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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