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Organization

ALAN S. NELSON D.O. PC

Active
Other names
Alan S. Nelson D.O. PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALAN S. NELSON D.O. (PHYSICIAN/OWNER)
(208) 878-8817
Entity
Organization

Contact information

Practice address
1404 POMERELLE AVE., SUITE A2, BURLEY, ID 83318-1564
(208) 878-8817
Mailing address
1404 POMERELLE AVE STE A2, BURLEY, ID 83318-2013
(208) 878-8817
(208) 878-3544

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O143
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
804255700
ID
Enumeration date
12/14/2011
Last updated
12/04/2017
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