Individual
DR. PETER JACOB NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD60086256
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0250246
LABOR & INDUSTRIES
WA
Enumeration date
09/15/2005
Last updated
09/23/2009
Update your record
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