# DR. REX Z NILSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386744324
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | PO0000034O | WA | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO00000340 | WA | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 06/13/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1004092 | — | WA |
| 05 | — | 1009272 | — | WA |
| 01 | — | 81436 | L&I | WA |
| 01 | — | PO0000034O | STATE LICENSE | WA |