Individual
MARK C NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9834 GENESEE AVENUE, SUITE 223, LAJOLLA, CA 92037
(858) 777-7917
(858) 703-5048
Mailing address
9834 GENESEE AVENUE, SUITE 223, LAJOLLA, CA 92037
(858) 777-7917
(858) 703-5048
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A80416
CA
Other
Enumeration date
08/31/2006
Last updated
02/02/2015
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