Individual
COLBY NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2000
Mailing address
1350 S GREENFIELD RD UNIT 1222, MESA, AZ 85206-3503
(480) 390-7066
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
390200000X
AZ
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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