Organization
JEFFREY M. NELSON, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M NELSON M.D. (OWNER/PHYSICIAN)
(520) 575-8400
Entity
Organization
Contact information
Practice address
7416 N LA CHOLLA BLVD, TUCSON, AZ 85741-2306
(520) 575-8400
(520) 797-2241
Mailing address
7416 N LA CHOLLA BLVD, TUCSON, AZ 85741-2306
(520) 575-8400
(520) 797-2241
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
23419
AZ
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
23419
AZ
2086S0105X
Surgery of the Hand (Surgery) Physician
23419
AZ
2086S0122X
Plastic and Reconstructive Surgery Physician
23419
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313388
—
AZ
Enumeration date
12/05/2008
Last updated
12/05/2008
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