Individual
DR. ASHTON THOMAS NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(901) 833-6757
Mailing address
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(901) 833-6757
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
32796
NE
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/26/2019
Last updated
12/02/2021
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