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Organization
ALAN S. NELSON D.O. PC
Active
Organization
ALAN S. NELSON D.O. PC
Active
Other names
Alan S. Nelson D.O. PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN S. NELSON D.O. (PHYSICIAN/OWNER)
(208) 878-8817
Entity
Organization
Contact information
Practice address
1404 POMERELLE AVE., SUITE A2, BURLEY, ID 83318-1564
(208) 878-8817
Mailing address
1404 POMERELLE AVE STE A2, BURLEY, ID 83318-2013
(208) 878-8817
(208) 878-3544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O143
ID
Other
Enumeration date
12/14/2011
Last updated
12/04/2017
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