Individual
GEORGE LEONARD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75582 CAMINO DE PLATA N, INDIAN WELLS, CA 92210-8519
(760) 674-7001
Mailing address
PO BOX 4401, PALM DESERT, CA 92261-4401
(760) 674-7001
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
C31229
CA
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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