Individual
DR. JOHN CHARLES NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BOONE RD, NAVAL HOSPITAL, BREMERTON, WA 98312-1894
(360) 475-4426
Mailing address
NAVAL HOSPITAL, ATTN: PROFESSIONAL AFFAIRS (CODE 083F), ONE BOONE ROAD, BREMERTON, WA 98312-1898
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
J0160
TX
Other
Enumeration date
06/01/2005
Last updated
07/08/2007
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