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Individual

DR. MATTHEW NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
US 191 & AZ 264, GANADO, AZ 86505
(928) 755-4632
(928) 755-4831
Mailing address
PO BOX 1625, PAGE, AZ 86040-1625
(928) 645-9675

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
008047
AZ
207Q00000X
Family Medicine Physician
12227416-1204
UT
207Q00000X
Family Medicine Physician
DR0057309
CO

Other

Enumeration date
05/26/2015
Last updated
05/28/2025
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