Individual
DONNA NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
SOUTH SAN FRANCISCO AND DOME ACCESS, BLDG 41 NAU CAMPUS, FLAGSTAFF, AZ 86011-0001
(928) 523-6343
Mailing address
PO BOX 6033, FLAGSTAFF, AZ 86011-0001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20922
AZ
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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