Individual
DR. DAVID WAYNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
440 GREENFIELD AVE STE D, HANFORD, CA 93230-3500
(559) 582-1045
(559) 582-2174
Mailing address
440 GREENFIELD AVE STE D, HANFORD, CA 93230-3568
(559) 582-1045
(559) 582-2174
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G28470
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G284702
—
CA
01
—
11D0708894
CLIA ID NUMBER
CA
01
—
G28470
STATE LICENSE NUMBER
CA
Enumeration date
07/31/2006
Last updated
03/07/2023
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