Individual
CHARLES ANTHONY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
945 HILDEBRAND LN NE STE 100, BAINBRIDGE ISLAND, WA 98110-2887
(206) 991-2121
(206) 991-2151
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60171773
WA
Other
Enumeration date
02/13/2009
Last updated
10/08/2020
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