Individual
DR. CORY OLIVER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8405 N PIMA CENTER PKWY STE 101, SCOTTSDALE, AZ 85258-4669
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
41647
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
41647
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430771
—
AZ
01
—
Z122854
PTAN
—
Enumeration date
06/09/2008
Last updated
07/26/2022
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