Individual
FREDERICK DAVID NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3020
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101268976
VA
207W00000X
Ophthalmology Physician
Primary
22654
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/22/2018
Last updated
02/24/2025
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