Individual
DALE A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 N MCDONALD RD, STE 101, SPOKANE VALLEY, WA 99216-1048
(509) 924-1950
(509) 921-0017
Mailing address
1215 N MCDONALD RD, STE 101, SPOKANE VALLEY, WA 99216-1048
(509) 924-1950
(509) 921-0017
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD00017395
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1159201
—
WA
01
—
910987719
PREMERA
WA
Enumeration date
08/04/2006
Last updated
05/01/2012
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