Organization
GLENN E NELSON DPM LLC
Active
Other names
Sonoran Foot and Ankle Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HATCH DPM (DOCTOR)
(520) 886-1176
Entity
Organization
Contact information
Practice address
2308 N ROSEMONT BLVD, TUCSON, AZ 85712-2139
(520) 886-1172
(520) 290-8894
Mailing address
2308 N ROSEMONT BLVD, TUCSON, AZ 85712-2139
(520) 886-1172
(520) 290-8894
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
701004
—
AZ
01
—
DC9300
RAILROAD MEDICARE
AZ
Enumeration date
01/26/2007
Last updated
10/09/2024
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