Individual
GLENN E. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2308 N ROSEMONT BLVD, TUCSON, AZ 85712-2139
(520) 886-1176
(520) 290-8894
Mailing address
2308 N ROSEMONT BLVD, TUCSON, AZ 85712-2139
(520) 886-1176
(520) 290-8894
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0310
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
701004
—
AZ
01
—
P00198920
RAIL ROAD MEDICARE
AZ
Enumeration date
10/04/2005
Last updated
01/20/2023
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