Individual
DR. CHADD DEE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
221 3RD ST W, RANDOLPH AIR FORCE BASE, TX 78150-4800
(210) 652-6403
Mailing address
1830 N 145TH AVE APT 1001, GOODYEAR, AZ 85395-5402
(801) 678-8577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
285235-1204
UT
208000000X
Pediatrics Physician
285235-1204
UT
Other
Enumeration date
06/27/2006
Last updated
09/27/2022
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