Individual
DR. ERIC REYNOLD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3101 CLEARWATER DR, SUITE A, PRESCOTT, AZ 86305-7180
(928) 776-1004
(928) 776-1276
Mailing address
3101 CLEARWATER DR, SUITE A, PRESCOTT, AZ 86305-7180
(928) 776-1004
(928) 776-1276
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29418
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589286
—
AZ
Enumeration date
07/08/2005
Last updated
03/26/2025
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