Individual
MARK WILLIAM NELMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4921 E BELL RD STE 205, SCOTTSDALE, AZ 85254-6002
(800) 640-3451
Mailing address
PO BOX 1200, PLEASANT GROVE, UT 84062-1200
(800) 640-3451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8053
AZ
Other
Enumeration date
05/11/2019
Last updated
11/05/2024
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