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Organization

DAVID A NELSON OD PA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID A NELSON OD (OWNER)
(785) 273-6717
Entity
Organization

Contact information

Practice address
4123 SW GAGE CENTER DR, SUITE 126, TOPEKA, KS 66604-1886
(785) 273-6717
(785) 228-2029
Mailing address
4123 SW GAGE CENTER DR, SUITE 126, TOPEKA, KS 66604-1886
(785) 273-6717
(785) 228-2029

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1357-3
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100219290B
KS
Enumeration date
02/12/2007
Last updated
02/15/2012
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