Individual
DR. RANDALL E. NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5919 PORTO ALEGRE DR, SAN JOSE, CA 95120-1752
(408) 268-2009
Mailing address
5919 PORTO ALEGRE DR, SAN JOSE, CA 95120-1752
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G44993
CA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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