Individual
DR. JEFFREY DONALD NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 BANCROFT EXT, UNIVERSITY HEALTH SERVICE- CLINICAL SERVICES, BERKELEY, CA 94720-4303
(510) 643-7110
(510) 643-9790
Mailing address
PO BOX 4446, BERKELEY, CA 94704-0446
(510) 642-7955
(510) 643-6999
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
G72339
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G72339
CALIF. MEDICAL LISCENCE
CA
Enumeration date
09/19/2005
Last updated
07/09/2007
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