Individual
NATHANIEL R. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600 W 22ND ST, SIOUX FALLS, SD 57105-1521
(605) 312-1000
Mailing address
9005 BRIDGEWOOD BLVD UNIT 6206, WEST DES MOINES, IA 50266-8198
(801) 898-1256
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PENDING
SD
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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