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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. NELSON PARKS DOUGLASS, MD

Active

MR. NELSON PARKS DOUGLASS, MD is a Clinical Neurophysiology healthcare provider located in SALT LAKE CITY, Utah. NPI 1912585357 is currently active in the NPPES registry. Verify at CMS.

Clinical Neurophysiology · SALT LAKE CITY, UT

Registration Details

NPI Number
1912585357
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2021 (5.4027329580028 yrs)
Last Updated
Dec 29, 2025
License
14206306-1205 (UT)

Practice Information

Address
175 N MEDICAL DR RM 5001
SALT LAKE CITY, UT, 841121103
Browse UT providers · Browse ZIP 84112
Phone
8015812121
Primary Specialty
Clinical Neurophysiology
2084N0600X

Other Clinical Neurophysiology Providers in SALT LAKE CITY, UT

Name Credential NPI
DR. ANGELA YVONNE PETERS M.D. 1699076224
GEORGE CHARLES MALATINSZKY MD 1255910741
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.