Individual
DR. MILES J NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10501 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5019
(615) 928-6268
Mailing address
PO BOX 2505, SALEM, OR 97308-2505
(888) 828-3197
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
93-346
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000T5696
—
NM
01
—
14924
PRESBY- TERIAN
—
01
—
301060
RIO PRIMARY CARE
—
01
—
6609
LOVELACE
—
Enumeration date
06/07/2006
Last updated
03/07/2023
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