Individual
PHILIP F. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5601 DEER VALLEY RD, ANTIOCH, CA 94531-8577
(925) 813-6500
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3429
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G51509
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G515090
—
CA
Enumeration date
11/02/2006
Last updated
07/08/2007
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