Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 362925-1205 | UT |
NPI | 1033244207 |
---|---|
Provider Name | Robert Eugene Nakken |
First Address | Cedar City, UT 84720-7792 |
Second Address | Cedar City, UT 84720-7792 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 08/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G14699 | (02) | UT |