Individual
DR. NELSON M. DELA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1965 S FREMONT AVE, SUITE 350, SPRINGFIELD, MO 65804-2201
(417) 820-3500
(417) 820-7852
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
116782
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203794409
—
MO
Enumeration date
12/04/2006
Last updated
05/03/2013
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