Individual
DOUGLAS NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1287 BURNS WAY, KALISPELL, MT 59901-3109
(406) 752-8120
(406) 752-8134
Mailing address
1287 BURNS WAY, KALISPELL, MT 59901-3109
(406) 752-8120
(406) 752-8134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7105
MT
208000000X
Pediatrics Physician
7105
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427091065
BCBS
MT
05
—
1427091065
—
MT
Enumeration date
06/13/2006
Last updated
04/19/2021
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