Individual
DONALD R NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1945 MESQUITE AVE, STE. A, LAKE HAVASU CITY, AZ 86403-5889
(928) 855-4128
(928) 855-7539
Mailing address
1945 MESQUITE AVE, STE. A, LAKE HAVASU CITY, AZ 86403-5889
(928) 855-4128
(928) 855-7539
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
05491
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219940
—
AZ
Enumeration date
12/14/2006
Last updated
02/08/2008
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