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Organization
NELSON SPINE INSTITUTE, INC.
Active
Organization
NELSON SPINE INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL W. NELSON M.D. (PRESIDENT)
(805) 370-0748
Entity
Organization
Contact information
Practice address
250 LOMBARD ST STE 1, THOUSAND OAKS, CA 91360-8208
(805) 370-0748
(978) 244-8700
Mailing address
PO BOX 4679, THOUSAND OAKS, CA 91359-1679
(805) 370-0748
(978) 244-8700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G38011
CA
Other
Enumeration date
11/14/2006
Last updated
12/21/2017
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