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Individual

KRISTIN SCHAD NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1492 S MILL AVE, SUITE 301, TEMPE, AZ 85281-5652
(480) 894-5550
(480) 894-9469
Mailing address
1492 S MILL AVE, SUITE 301, TEMPE, AZ 85281-5652
(480) 894-5550
(480) 894-9469

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
4044
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
227443
AZ
Enumeration date
05/25/2007
Last updated
11/20/2007
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