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Individual

STEPHEN LANIER NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
749 GOLF VIEW DR UNIT A, MEDFORD, OR 97504-9654
(541) 282-6580
(541) 326-0361
Mailing address
749 GOLF VIEW DR UNIT A, MEDFORD, OR 97504-9654
(541) 282-6580
(541) 326-0361

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD18996
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
066043
OR
Enumeration date
07/21/2006
Last updated
10/16/2024
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