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Individual

STEVEN F NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA C

Contact information

Practice address
2900 FIRST AVE FIRST FLOOR, THE CENTER FOR PAIN RELIEF TRI STATE PLLC, HUNTINGTON, WV 25702
(304) 526-8384
(304) 526-1951
Mailing address
2900 FIRST AVENUE, ROOM 1022, HUNTINGTON, WV 25701-1241
(304) 526-8958
(304) 399-7579

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
00575
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
203735494
TAX ID#
WV
01
61007300
AETNA
WV
Enumeration date
07/12/2006
Last updated
09/11/2008
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