Individual
DR. LOREN DOUGLAS NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
445 FLAT CREEK DR # 3999, JACKSON, WY 83001-9173
(305) 542-9038
Mailing address
PO BOX 3999, JACKSON, WY 83001-3999
(305) 542-9038
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
ME69015
FL
2086S0127X
Trauma Surgery Physician
Primary
TL2018
WY
Other
Enumeration date
04/17/2006
Last updated
04/19/2013
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