Individual
STEPHEN B. NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6248
(479) 314-6159
Mailing address
3214 BUTTERFIELD EST, VAN BUREN, AR 72956-8810
(479) 926-1616
(479) 262-6677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C-6140
AR
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
C-6140
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079750A
—
OK
05
—
102075001
—
AR
01
—
53897
BLUECROSS BLUESHIELD
AR
Enumeration date
01/13/2006
Last updated
02/27/2020
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