Individual
DAVID CAMERON NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6051 W EMERALD ST, BOISE, ID 83704-8969
(208) 302-5150
(208) 302-5155
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-0800
(208) 302-0855
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1293
ID
363AM0700X
Medical Physician Assistant
—
ID
Other
Enumeration date
09/02/2015
Last updated
05/18/2023
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