Individual
ALVAH J NELSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12105 FAIRWAY DR, LITTLE ROCK, AR 72212-3428
(501) 225-3725
Mailing address
12105 FAIRWAY DR, LITTLE ROCK, AR 72212-3428
(501) 225-3725
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
R-2246
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104653001
—
AR
Enumeration date
05/14/2009
Last updated
05/14/2009
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