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Organization

ANTHONY NELSON MD A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY FALKEY (MANAGER)
(330) 244-8505
Entity
Organization

Contact information

Practice address
71780 SAN JACINTO DR STE B1, RANCHO MIRAGE, CA 92270-5517
(760) 202-1919
Mailing address
PO BOX 2757, ORANGE, CA 92859-0757
(714) 973-2650
(714) 973-2655

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G61216
CA

Other

Enumeration date
05/09/2007
Last updated
06/20/2023
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