Individual
BARBARA J NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
808 PANCHERI DRIVE, IDAHO FALLS, ID 83402-3344
(208) 552-6900
(208) 552-4973
Mailing address
3450 POTOMAC WAY, IDAHO FALLS, ID 83404-4970
(208) 557-2900
(208) 557-2910
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M7260
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804274900
—
ID
Enumeration date
11/07/2006
Last updated
05/31/2016
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