Individual
DR. RANDALL R. NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
2741 TONIA CIR, MEDFORD, OR 97504-8628
(541) 826-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15079
OR
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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