Provider Demographics
NPI:1407085848
Name:CURRIER, NATHAN R (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:R
Last Name:CURRIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 WASATCH BLVD
Mailing Address - Street 2:SUITE 370
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-4709
Mailing Address - Country:US
Mailing Address - Phone:801-947-9007
Mailing Address - Fax:801-947-9994
Practice Address - Street 1:4505 WASATCH BLVD
Practice Address - Street 2:SUITE 370
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-4709
Practice Address - Country:US
Practice Address - Phone:801-947-9007
Practice Address - Fax:801-947-9994
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT173575-1205174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty