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Organization
E SCOTT NIELSEN MD PC
Active
Organization
E SCOTT NIELSEN MD PC
Active
Other names
CORCORAN WELLCARE MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
EZRA SCOTT NIELSEN M.D. (OWNER)
(559) 992-0082
Entity
Organization
Contact information
Practice address
1310 HANNA AVE, SUITE 1, CORCORAN, CA 93212-2314
(559) 992-0082
(559) 992-9873
Mailing address
PO BOX 636, CORCORAN, CA 93212-0636
(559) 992-0082
(559) 992-9873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A44146
CA
Other
Enumeration date
02/28/2007
Last updated
07/08/2008
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