Individual
MR. DAVID LAMONT NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
222 WALNUT AVE SW, ROANOKE, VA 24016-4723
(540) 344-3668
(540) 769-6381
Mailing address
222 WALNUT AVE SW, ROANOKE, VA 24016-4723
(540) 344-3668
(540) 769-6381
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103300976
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053503961
—
VA
Enumeration date
08/14/2007
Last updated
11/17/2008
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