Individual
ANTHONY DOMINIC NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16390 N 59TH AVE, SUITE 200, GLENDALE, AZ 85306
(623) 334-4000
(623) 334-4400
Mailing address
16390 N 59TH AVE STE 200, GLENDALE, AZ 85306-1711
(623) 334-4000
(623) 334-4400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/18/2011
Last updated
09/13/2024
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