# ALAN S. NELSON D.O. PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alan S. Nelson D.O. PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184993586
- **Authorized official:** DR. ALAN S. NELSON D.O. (PHYSICIAN/OWNER)
- **Authorized official phone:** (208) 878-8817

## Contact information

- **Practice address:** 1404 POMERELLE AVE., SUITE A2, BURLEY, ID 83318-1564
- **Practice address phone:** (208) 878-8817
- **Mailing address:** 1404 POMERELLE AVE STE A2, BURLEY, ID 83318-2013
- **Mailing address phone:** (208) 878-8817
- **Mailing address fax:** (208) 878-3544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | O143 | ID | Yes |

## Other

- **Enumeration date:** 12/14/2011
- **Last updated:** 12/04/2017