Individual
DR. JOHN W NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5252 N MERIDIAN AVE, OKLAHOMA CITY, OK 73112-2178
(405) 702-8623
(405) 702-8628
Mailing address
5252 N MERIDIAN AVE, OKLAHOMA CITY, OK 73112-2178
(405) 754-5400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
24875
OK
207R00000X
Internal Medicine Physician
24875
OK
208VP0000X
Pain Medicine Physician
Primary
24875
OK
208VP0000X
Pain Medicine Physician
E6543
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200087810A
—
OK
Enumeration date
06/29/2006
Last updated
01/10/2022
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