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Individual

DR. JERRY W NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2111 E DAKOTA AVE, FRESNO, CA 93726-4805
(559) 459-1845
Mailing address
2111 E DAKOTA AVE, FRESNO, CA 93726-4805
(559) 459-1845

Taxonomy

Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
A21897
CA
207ZP0101X
Anatomic Pathology Physician
A21897
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A218970
CA
Enumeration date
03/19/2007
Last updated
09/11/2025
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